Author(s)

Ngono Akam Marga Vanina^1,2*, Adjessa Abega¹, Nyada Serge^1,2, Mpono Pascale^1,2, Nsahlai Christiane^1,2, Mendoua Michelle^1,2, Sharon Mbacham Ngwafor¹, Kasia Yves¹, Kasia Florence¹, Soppo Blandine¹, Belinga Etienne^1,2, Kasia Jean Marie^1,2

¹Gynaecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaoundé, Cameroon.
²Department of Gynecology and Obstetrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon.

Introduction: Endometriosis is a chronic disease affecting approximately 10% of women. Our aim was to describe the epidemiological profile, clinical presentation and location of lesions in patients operated on for endometriosis. Methodology: We conducted an analytical cross-sectional study with retrospective data collection over a period of 05 years from 1 January 2017 to 31 March 2022. Our study population consisted of women who had undergone laparoscopy for endometriosis. Data analysis was performed using SPSS software version 23.0. Results: In total we included 159 patients who had undergone laparoscopy for endometriosis. The mean age was 32.9 ± 5.9 years, most of whom were nuligravida 61.6% (n = 99). Infertility was the most frequent reason for consultation, accounting for 72.3% (n = 115), followed by dysmenorrhoea in 60.8% (n = 96) of cases and chronic pelvic pain in 37.7% (n = 60). In addition, 46 (28.9%) patients complained of deep dyspareunia, 17 (10.7%) of dyschezia and nine (5.7%) of dysuria. Magnetic Resonance Imaging (MRI) was used in one patient. Diagnostic laparoscopy was performed directly in 77 (48.4%) patients. The lesions were multifocal, according to the #ENZIAN classification nomenclature. Tubal lesions were most frequently found 107 (67.3%) on the left, followed by compartment B (uterosacral ligaments, cardinal ligaments and lateral pelvic wall) 49.7% (n = 79), and endometriomas 40.9% (n = 65). Conclusion: Women operated on for endometriosis were of a more advanced age, and predominantly nulliparous. Infertility was the most frequent reason for consultation and tubal location most frequently encountered for superficial lesions and compartiment B for deep lesions according to #ENZIA.

Epidemiology, Clinical Manifestations, Laparoscopy, #ENZIA, Endometriosis

Vanina, N. , Abega, A. , Serge, N. , Pascale, M. , Christiane, N. , Michelle, M. , Ngwafor, S. , Yves, K. , Florence, K. , Blandine, S. , Etienne, B. and Marie, K. (2023) Epidemiological Profile and Location of Lesions According to #ENZIAN of Patients Operated on for Endometriosis in a Public Endoscopic Surgery Centre, Yaounde, Cameroon. Open Journal of Obstetrics and Gynecology, 13, 1919-1927. doi: 10.4236/ojog.2023.1312162.