Abstract | OBJECTIVE: To review the clinical profiles and management outcomes of patients with pyometra. STUDY DESIGN: A retrospective review of all women admitted with a confirmed diagnosis of pyometra over an 8-year period (January 2003 to December 2010). The medical records, including operation notes, histological and microbiological results, were reviewed. RESULTS: A total of 57 patients accounting for 76 admissions were identified. The mean patient age was 82.0 ± 11.3 years. The most common presenting symptom was postmenopausal bleeding (59.2%), followed by vaginal discharge (40.8%), fever (6.6%), and abdominal pain (5.3%). Drainage of pyometra was either by uterine Foley catheter insertion (48 patients [84.2%]) or repeated endometrial aspiration (2 patients [3.5%]). Antibiotics were prescribed to 49 patients (86.0%). Diagnostic hysteroscopy with mechanical cervical dilation was performed in 6 patients (10.5%). Gynecological malignancy was identified in only 1 patient, while colorectal cancer was identified in 2 patients. No patient had spontaneous uterine perforation or sepsis. Sixteen patients had recurrent pyometra within a mean follow-up period of 5.1 ± 5.8 months (range, 0.5-23 months). CONCLUSION:
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Authors | Man-Wa Lui, Vincent Y T Cheung, Ting Chung Pun |
Journal | The Journal of reproductive medicine
(J Reprod Med)
2015 Jul-Aug
Vol. 60
Issue 7-8
Pg. 329-32
ISSN: 0024-7758 [Print] United States |
PMID | 26380492
(Publication Type: Journal Article)
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Topics |
- Aged
- Aged, 80 and over
- Female
- Hong Kong
(epidemiology)
- Humans
- Pyometra
(diagnosis, epidemiology, microbiology, therapy)
- Retrospective Studies
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