Analysis of the structure of gynecological diseases and extent of surgery in patients of different age groups supervised in the cervical and endometrial pathology office

Objective: This study aimed to analyze the structure of gynecological diseases and the extent of surgery in patients of different age groups supervised in the cervical and endometrial pathology office.

Materials and methods: A total of 369 patients from different age groups were included in this study. Group 1 (n=290) consisted of women aged 18–44 years who received medical care in the cervical and endometrial pathology office. Group 2 (n=44) consisted of women aged 45–59 years old. Group 3 (n=30) included women aged 60–74 years old. The study analyzed the structure of gynecological pathology in these groups.

Results: The study found that CIN I was more frequently detected in women in group 2, while CIN II was most frequently detected in women in group 3. The rate of CIN III was similar in all three groups, with percentages of 14.1, 15.9, and 13.3%, respectively. In terms of surgical procedures, cervical excision (LLETZ) was performed less frequently in all age groups (group 1, 8.62%; group 2, 4.55%; and group 3, 10%) than cervical electroconization (group 1, 27.93%; group 2, 45.45%; group 3, 36.67%).

Conclusion: The findings of this study indicate that in the cervical and endometrial pathology office, the majority of patients (78.59%) were women aged 18–44 years. In 93.3–100% of cases, patients undergo tissue treatment with a solution cavitated by low-frequency ultrasound before surgical treatment. Electroconization is most commonly performed in women aged 45–59 years (45.45%) for the treatment of precancerous diseases of the cervix. Ablative treatments are predominantly used for hemostasis, and less commonly for the treatment of CIN I.