Clinic pathological study on AUB patients undergoing hysterectomy in a tertiary care hospital, Bengaluru: A cross sectional study

Abstract

Background: Abnormal uterine bleeding (AUB) is one of the most common debilitating menstrual problems and has remained one of the most frequent indications for hysterectomy in developing countries. AUB requires careful evaluation due to the risk of endometrial malignancy [1]. Approximately in 40% of hysterectomy specimens, no definite organic pathology could be established [2]. The objective of present study is to find out the distribution of various uterine pathology in hysterectomy specimens among women with AUB.Methods: In the present study, thirty patients with AUB undergoing hysterectomy were included and evaluated for various uterine pathology.Results: Majority of the study participants belonged to the age group between 35-40 years (57%) of age. The mean age of the study participants was found to be 40.90+3.24 years. Majority of the study participants had Menorrhagia (83%). 14% of the study participants had postmenopausal bleeding. 70% of the study participants had proliferative endometrium findings on histopathology. 30% of the study participants had secretory endometrium. 64% of the study participants were diagnosed as AUB (L) based on histopathology with 25% of the study participants diagnosed as AUB (A) based on PALM-COEIN system of classification of AUB.Conclusions: Hysterectomy is a very commonly performed major surgical procedure in gynaecological practice. This study confirms that benign diseases are more common than their malignant counterparts and the most common pathology identified is leiomyoma. To identify the exact cause is essential to successfully treat patients with AUB.