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FOI Request 2391 - Fibroids
Written by FOI Lead   

Case Number 2391
Request Date 11/07/2011

Details of the Request


  • How many women were seen by your Trust for heavy menstrual bleeding and dysmenorrhoea in the last 2 years?
  • How many had fibroids fully diagnosed?
  • How many did not have the cause fully diagnosed?
  • How many women were diagnosed with symptomatic fibroids, requiring treatment in your hospital in the last 2 years?
  • How many women underwent a hysterectomy for the treatment of fibroids in the last 2 years?
  • Of these how many were abdominal, laparoscopic and vaginal?
  • How many women with fibroids underwent myomectomy in the last 2 years?
  • If this service is not offered in your Trust, what arrangements are in place for referrals and were do you refer?
  • What is your normal diagnostic pathway for women with heavy menstrual bleeding, menorrhagia, dysmenorrhoea?
  • NICE Guidelines 4 Jan 07 on Heavy Menstrual Bleeding state that all women with fibroids >3cm must be offered uterine artery embolisation, myomectomy & hysterectromy. What processes do you have in place to ensure that all women are full informed of these treatment options and given alternatives to hysterectomy?
  • What information do you provide to women to ensure they are fully and objectively informed about their treatment options - please send examples of patient information leaflets and links to your website.

Completion Date 18/08/2011


Details of the Response

Thank you for your request to Ashford and St. Peter’s Hospitals NHS Trust regarding
  1. How many women were seen by your Trust for heavy menstrual bleeding and dysmenorrhoea in the last 2 years?

    Heavy menstrual Bleeding:

    2009 208
    2010 204



    Dysmenorrhoea:

    2009/2010 20
    2010/2011 18

     
  2. How many had fibroids fully diagnosed?

    Fibroids as primary diagnosis:

    2009 175
    2010 134



    Fibroids and menstrual bleeding:

    2009/10 190
    2010/2011 89

     
  3. How many did not have the cause fully diagnosed?

    Our reports are based on the primary diagnosis. 
     
  4. How many women were diagnosed with symptomatic fibroids, requiring treatment in your hospital in the last 2 years?

    See question 2.
     
  5. How many women underwent a hysterectomy for the treatment of fibroids in the last 2 years? Of these how many were abdominal, laparoscopic, and vaginal?

    Fibroids with Abdominal Hysterectomy:

    2009/10 49
    2010/201 126



    Laperoscopic Hysterectomy:

    2009/10 4
    2010/11 4



    Vaginal hysterectomy:

    2009/2010 17
    2010/2011 9

     
  6. How many women with fibroids underwent UFE treatment in the last 2 years? If this service is not offered in your Trust, what arrangements are in place for referrals and where do you refer?

    UFE treatments commenced at St Peter’s in October in October 2009.

    2009/10 1
    2010/2011 10

     
  7. How many women with fibroids underwent myomectomy in the last 2 years? If this service is not offered in your Trusts, what arrangements are in place for referrals and where do you refer?

    2009/10 2
    2010/2011 10

     
  8. What is your normal diagnostic pathway for women with heavy menstrual bleeding, menorrhagia, dysmenorrhoea?

    Patient is seen in Outpatients by a Consultant gynaecologist, full history taken, clinical examination and ultrasound scan. If the patient has irregular bleeding the patient undergoes hysteroscopy and biopsy.
     
  9. NICE Clinical Guidelines 4 Jan 07 on “Heavy Menstrual Bleeding” state that all women with fibroids >3cm must be offered uterine artery embolisation, myomectomy and hysterectomy. What processes do you have in place to ensure that all women are fully informed of these treatment options and given alternatives to hysterectomy?

    All patients are seen and counselled in clinic. Each individual patient is given advice as appropriate to their history and clinical findings.

    Patients who are referred (by Consultant Gynaecologists) for UFE undergo an MRI scan and are counselled pre treatment by Dr Allan Irvine, Consultant Interventional Radiology. All these patients receive written information.
     
  10. What information do you provide to women to ensure they are fully and objectively informed about their treatment options – please send examples of patient information leaflets and links to your web site

    Patients are copied in to their Clinic letter which is sent to their GP (see attached example for UFE), Patient Information leaflets on the EIDO site, National patient leaflets from Royal College of Obstetricians and Gynaecologists, patient’s section on the British Society of Interventional Radiology Website.

    UFE patients are seen by the Consultant a week post treatment. All other patients are followed up at 6 weeks post treatment


Any attachments sent with the request will be available below.

Attachments:
FileFile size
Download this file (FOI 2391- UAE Leaflet.pdf)FOI 2391- UAE Leaflet.pdf22 Kb
Last Updated on Tuesday, 25 October 2011 16:00