Uterine leiomyomata: Etiology, symptomatology, and management

Abstract

Uterine leiomyomata, which occur in one of every four to five women in reproductive life, are the most common solid pelvic tumors in women. Nevertheless, etiology and symptomatology remain poorly understood, and management, inconsistent. In an effort to improve understanding of these aspects of uterine leiomyomata, we have reviewed the pertinent literature and have assessed reports of 4714 myomectomies and records of 59 personal cases. A plan for management of patients with uterine leiomyomata, based upon these findings, as well as an update of the technique for myomectomy, is presented.