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Adenomyosis and uterine fibroids: treatment and impact on fertility
Hlinecká, Kristýna ; Bláha, Jan (advisor) ; Pilka, Radovan (referee) ; Hudeček, Robert (referee)
Introduction In times of postponing the first pregnancy into the fourth or even fifth decade, there is a growing demand for fertility-saving procedures for these uterine diseases. As women age, fertility generally declines. The etiology of both diseases, as well as their relationship to infertility, remains uncertain. The prevalence of fibroids and adenomyosis is around 30 and 20 %. Treatment methods vary from pharmacological to surgical. In this study, we tried to compare two groups of patients with different types of fertility-sparing uterine surgeries and evaluate their reproductive outcomes. While myomectomy (the control group) can be considered a well-established procedure with standardized surgical steps and predictable fertility outcomes, resection of severe adenomyosis represents a newer and more controversial alternative to conservative therapy. Methods Patients of reproductive age with focal or diffuse adenomyosis who are planning pregnancy were included in the study. The diagnosis was performed ultrasonographically. Between 2004 and 2019, a total of 110 women underwent laparoscopic or open uterus-sparing surgery for clinically significant uterine adenomyosis (group A), diffuse adenomyosis (group AD), or fibroids (group B). Results Two groups of women who underwent different...
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The Process of Education of Patients after hysterectomy
Skalická, Lenka ; Vachková, Eva (advisor) ; Poláková, Hana (referee)
97 11. ANNOTATION Author: Lenka Skalická Institution: Department of Social Medicine LF UK in Hradec Kralove Department of Nursing Title of the work: Educational process in patients after hysterectomy Academic advisor: Mgr. Eva Vachková, Ph.D. Number of pages: 113 Number of attachments: 5 Defended in: 2015 Key words: education, hysterectomy, myoma, illnes beliefs This bachelor thesis deals with the education of patients after hysterectomy. The theoretical part is devoted to the pathophysiology of benign uterine disorders, causes, diagnosis, symptoms and treatment. It describes the most common method of therapy - hysterectomy and notes in particular the education of woman patients after surgery. Another part of the thesis deals with the concept of personal illness beliefs whose knowing is a guide to an effective education. The centre of the work lays in the quantitative and qualitative research using two different tools, questionnaires IPQ-R-CZ and MIQ-CZ interviews in the target groups of patients. A key objective of the work is to design an educational material intended for clinical use for women who underwent surgical removal of the uterus.
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The Process of Education of Patients after hysterectomy
Skalická, Lenka ; Vachková, Eva (advisor) ; Poláková, Hana (referee)
97 11. ANNOTATION Author: Lenka Skalická Institution: Department of Social Medicine LF UK in Hradec Kralove Department of Nursing Title of the work: Educational process in patients after hysterectomy Academic advisor: Mgr. Eva Vachková, Ph.D. Number of pages: 113 Number of attachments: 5 Defended in: 2015 Key words: education, hysterectomy, myoma, illnes beliefs This bachelor thesis deals with the education of patients after hysterectomy. The theoretical part is devoted to the pathophysiology of benign uterine disorders, causes, diagnosis, symptoms and treatment. It describes the most common method of therapy - hysterectomy and notes in particular the education of woman patients after surgery. Another part of the thesis deals with the concept of personal illness beliefs whose knowing is a guide to an effective education. The centre of the work lays in the quantitative and qualitative research using two different tools, questionnaires IPQ-R-CZ and MIQ-CZ interviews in the target groups of patients. A key objective of the work is to design an educational material intended for clinical use for women who underwent surgical removal of the uterus.
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