Uterine Fibroids: Epidemiology, Symptoms and Management

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Series: Human Reproductive System – Anatomy, Roles and Disorders, Women’s Issues
BISAC: MED033000

Uterine myomas are the most common form of benign uterine tumors, occurring in 50–60% of women. Clinically, they are mostly asymptomatic, often incidentally found on pelvic examination or by routine gynecological ultrasonographic evaluation; otherwise, in 30–40% of cases, they cause a large variety of symptoms, depending on their location and size. Currently, the therapeutic options for myomas are medical, radiological, and surgical. The aim of this book is to summarize the evidence regarding epidemiology, pathogenesis, clinical presentation, diagnosis and management of uterine myomas.
(Imprint: Nova Medicine and Health)

Table of Contents

Table of Contents

Preface

Chapter 1. Epidemiology and Risk Factors of Uterine Myomas
(Gloria D’Alessandro, MD, Fabio Barra, MD and Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 2. Classification of Uterine Myomas and Clinical Correlations
(Giulio Evangelisti, MD, Fabio Barra, MD, and Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Deptartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 3. Ultrasonographic Assessment of Uterine Myomas
(Fabio Barra, MD, Umberto Leone Roberti Maggiore, MD, Gloria D’Alessandro, MD, Giulio Evangelisti, MD, Matteo Tantari, MD, Franco Alessandri, MD, and Simone Ferrero, MD, PhD, Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Largo, Italy, and others)

Chapter 4. Surgical Pathology of Uterine Myomas: From Usual Forms to Differential Diagnosis
(Valerio Gaetano Vellone, MD, PhD, Michele Paudice, MD, Chiara Maria Biatta, MD, Leonardo Peñuela, MD, PhD, Gabriele Gaggero, MD, Fabio Barra, MD, Simone Ferrero MD, PhD, and Bruno Spina, MD, Pathology, Department of Integrated Surgical and Diagnostic Sciences (DISC), University of Genoa, Italy, and others)

Chapter 5. Presurgical Hormonal Treatment for Uterine Myomas
(Gloria D’Alessandro, MD, Fabio Barra, MD, Giulio Evangelisti, MD, Carolina Scala, MD, and Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Dept. of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 6. Minilaparotomic Myomectomy
(Davide Lijoi, MD, Fabio Barra, MD, and Simone Ferrero, MD, PhD, Unit of Obstetrics and Gynecology, Galliera Hospital, Genoa, Italy, and others)

Chapter 7. Laparoscopic Myomectomy
(Matteo Tantari, MD, Fabio Barra, MD, Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Dept. of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 8. Hysteroscopic Myomectomy
(Gloria D’Alessandro, MD, Fabio Barra, MD, Federico Casabona, MD, and Simone Ferrero MD, PhD, Obstetrics and Gynecology, Dept. of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 9. Levonorgestrel-Releasing Intrauterine Device for the Treatment of Heavy Menstrual Bleeding Caused by Uterine Myomas
(Barbara Gardella, MD, Giulia Muscettola, MD, Anna Orlandini, MD, Mattia Dominoni, MD, and Arsenio Spinillo, MD, Department of Obstetrics and Gynecology, IRCCS Policlinico San Matteo, University of Pavia, Italy)

Chapter 10. Non-Invasive Procedures for Uterine Myomas
(Giulio Bovio, MD, Nicola Camisassi, MD, Francesco Petrocelli, MD and Alice Utili, MD, Vascular and Interventional Radiology Department, IRCCS Ospedale Policlinico San Martino, Genoa)

Chapter 11. Uterine Myomas and Fertility
(Chiara Bondi, MD, Fabio Barra, MD, and Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 12. Uterine Myomas and Sexual Function
(Chiara Bondi, MD, Fabio Barra, MD, and Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Deptartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 13. Office Hysteroscopic Myomectomy Using the Versapoint Bipolar Electrode
(Chiara Bondi, MD, Fabio Barra, MD, and Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Chapter 14. Risk of Sarcoma Dissemination during Laparoscopic Myomectomy
(Matteo Tantari, MD, Fabio Barra, MD, Stefano Di Domenico MD, Valerio Gaetano Vellone, MD, Franco De Cian, MD, and Simone Ferrero, MD, PhD, Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy, and others)

Chapter 15. Robotic-Assisted Myomectomy
(Giulio Evangelisti, MD, Fabio Barra, MD and Simone Ferrero, MD, PhD, Obstetrics and Gynecology, Dept. of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Italy, and others)

Index

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