Improvement in parameters of quality of life and uterine volume reduction after uterine fibroid embolization.

Autor: Silva NACD; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Szejnfeld D; Universidade Federal de São Paulo, São Paulo, SP, Brazil., Klajner RK; Centro Universitário São Camilo, São Paulo, SP, Brazil., Mata MVMD; Centro Universitário São Camilo, São Paulo, SP, Brazil., Aun R; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Belczak SQ; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Jazyk: English; Portuguese
Zdroj: Einstein (Sao Paulo, Brazil) [Einstein (Sao Paulo)] 2020 Sep 21; Vol. 18, pp. eAO5458. Date of Electronic Publication: 2020 Sep 21 (Print Publication: 2020).
DOI: 10.31744/einstein_journal/2020AO5458
Abstrakt: Objective: To evaluate improvement in quality of life, reduction of uterine volume, and the correlation between these two variables after uterine fibroid embolization.
Methods: Data on quality of life before and after uterine fibroid embolization were collected from 60 patients using the Uterine Fibroid Symptom - Quality of Life questionnaire. In 40 of these patients, uterine volume information on magnetic resonance imaging examinations performed before and after uterine fibroid embolization was collected, and compared using the nonparametric Wilcoxon test for paired data. Correlation between quality of life and uterine volume before and after procedure was measured using Spearman's correlation coefficient.
Results: There was significant improvement in quality of life after uterine fibroid embolization on Uterine Fibroid Symptom - Quality of Life questionnaire, in both subscales scores and the total score. There was a significant median reduction of -37.4% after uterine fibroid embolization, but no correlations between uterine volume and quality of life scores were found before or after embolization.
Conclusion: Uterine embolization is an alternative to treat uterine fibroids, resulting in relief of symptoms and better quality of life. Although reduction in uterine volume plays an important role in the evaluation of therapeutic success, it does not necessarily have a definitive correlation with relief of symptoms.
Databáze: MEDLINE
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