Temporary uterine artery occlusion for treatment of menorrhagia and uterine fibroids using an incisionless Doppler-guided transvaginal clamp: case report
| Autor: | E.C. Vilos, Walter Romano, Basim Abu-Rafea, George A. Vilos |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Uterine fibroids Uterus medicine.artery Occlusion medicine Humans Artery occlusion Uterine artery Cervix Menorrhagia Uterine leiomyoma Leiomyoma business.industry Rehabilitation Obstetrics and Gynecology Ultrasonography Doppler Arteries medicine.disease Surgical Instruments female genital diseases and pregnancy complications Surgery Clamp medicine.anatomical_structure Treatment Outcome Reproductive Medicine Uterine Neoplasms Vagina Female business Vascular Surgical Procedures |
| Zdroj: | Human reproduction (Oxford, England). 21(1) |
| ISSN: | 0268-1161 |
| Popis: | We report the successful treatment of a 43-year-old woman with menorrhagia and multiple uterine fibroids by temporary uterine artery occlusion. Using a Doppler-guided transvaginal clamp, her uterine arteries were non-invasively identified and occluded by mechanical compression against the cervix for 6 h. Following removal of the clamp, blood flow in the uterine arteries returned immediately. Menorrhagia symptoms were tracked with the Ruta Menorrhagia Severity Scale. Uterine and fibroid volumes were measured by analysis of magnetic resonance images. The patient's self-reported menorrhagia symptoms were significantly reduced at 6 months (70% reduction in Ruta score) and both uterine volume and fibroid volume had decreased by more than 44% at 6 months. This case report illustrates the potential applicability of a simple-to-use, non-surgical device for the treatment of menorrhagia and uterine fibroids by temporary uterine artery occlusion. |
| Databáze: | OpenAIRE |
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