Uterine Artery Embolization as Nonsurgical Treatment of Uterine Myomas
| Autor: | Cambi Sapunar Liana, Tandara Marijan, Kristina Situm, Strinic Tomislav, Jelcic Dzenis, Maskovic Josip, Grandic Leo, Jukic Marko, Stipic Ivica, Radic Ante, Vulic Marko |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Article Subject business.industry Uterine fibroids Pelvic pain medicine.medical_treatment Uterus medicine.disease Nonsurgical treatment Surgery medicine.anatomical_structure Uterine artery embolization medicine Clinical Study Amenorrhea Embolization medicine.symptom business uterine artery embolization fibroids Variable intensity |
| Zdroj: | ISRN Obstetrics and Gynecology |
| ISSN: | 2090-4436 |
| DOI: | 10.5402/2011/489281 |
| Popis: | The purpose of this study was to evaluate safety, efficacy or complications of uterine artery embolization (UAE). Patients with symptomatic uterine fibroids (n=157) were treated by selective bilateral UAE using 350–500 μm sized polyvinyl alcohol particles. Bilateral UAE was successful in 152 (96.8%) cases. Baseline measures of clinical symptoms and MRI taken before the procedure were compared to those taken 3, 6, and 12 months after embolotherapy. Also, complications and outcomes were analyzed after procedure. All patients had an uneventful recovery and were able to return to normal activity within two weeks of embolization. After the procedure, most patients experienced crampy pelvic pain, of variable intensity, which was well managed with the standard analgesia protocol. Five (3%) of participants had persisting amenorrhea after procedure. None reported any new gynecologic or medical problem during the follow-up period. There were no deaths and no major permanent injuries. Reductions in mean uterine volume were 61% (P<0.01) and in dominant fibroid volume 66% (P≤0.01). The follow-up showed significant improvement of bleeding. In conclusion, uterine artery embolization is a successful, minimal invasive treatment of uterine fibroids that preserves the uterus, had minimal complications, and requires short hospitalization and recovery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|