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Tomislav S, Josip M, Liana CS, et al. Uterine artery embolization as nonsurgical treatment of uterine myomas. ISRN Obstet Gynecol. 2011;2011:489281doi: 10.5402/2011/489281.
Tomislav, S., Josip, M., Liana, C. S., Marko, V., Marko, J., Ante, R., Dzenis, J., Leo, G., Ivica, S., Marijan, T., & Situm, K. (2011). Uterine artery embolization as nonsurgical treatment of uterine myomas. ISRN obstetrics and gynecology, 2011489281. https://doi.org/10.5402/2011/489281
Tomislav, Strinic, et al. "Uterine artery embolization as nonsurgical treatment of uterine myomas." ISRN obstetrics and gynecology vol. 2011 (2011): 489281. doi: https://doi.org/10.5402/2011/489281
Tomislav S, Josip M, Liana CS, Marko V, Marko J, Ante R, Dzenis J, Leo G, Ivica S, Marijan T, Situm K. Uterine artery embolization as nonsurgical treatment of uterine myomas. ISRN Obstet Gynecol. 2011;2011:489281. doi: 10.5402/2011/489281. Epub 2011 Nov 23. PMID: 22191046; PMCID: PMC3236393.
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ISRN Obstet Gynecol. 2011;2011:489281. doi: 10.5402/2011/489281. Epub 2011 Nov 23.

Uterine artery embolization as nonsurgical treatment of uterine myomas.

ISRN obstetrics and gynecology

Strinic Tomislav, Maskovic Josip, Cambi Sapunar Liana, Vulic Marko, Jukic Marko, Radic Ante, Jelcic Dzenis, Grandic Leo, Stipic Ivica, Tandara Marijan, Kristina Situm

Affiliations

  1. Department of Gynecology and Obstetrics, University Hospital, Spincica 1, 21000 Split, Croatia.

PMID: 22191046 PMCID: PMC3236393 DOI: 10.5402/2011/489281

Abstract

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.

References

  1. J Vasc Interv Radiol. 2006 Mar;17(3):471-80 - PubMed
  2. Lancet. 2001 Jan 27;357(9252):293-8 - PubMed
  3. Obstet Gynecol. 2001 Jul;98(1):29-34 - PubMed
  4. Lancet. 1995 Sep 9;346(8976):671-2 - PubMed
  5. Fertil Steril. 2000 Jun;73(6):1241-3 - PubMed
  6. Coll Antropol. 2004 Dec;28(2):793-7 - PubMed
  7. Environ Health Perspect. 2003 Jun;111(8):1037-54 - PubMed
  8. J Vasc Interv Radiol. 2004 Dec;15(12):1483-5 - PubMed
  9. J Vasc Interv Radiol. 1999 Oct;10(9):1149-57 - PubMed
  10. J Vasc Interv Radiol. 2006 Dec;17(12):1947-50 - PubMed
  11. Obstet Gynecol. 2002 Nov;100(5 Pt 1):873-80 - PubMed
  12. Obstet Gynecol. 2005 Jul;106(1):52-9 - PubMed
  13. Radiology. 2004 Mar;230(3):803-9 - PubMed
  14. Lancet. 1999 Jul 24;354(9175):307-8 - PubMed
  15. Radiology. 2005 Mar;234(3):948-53 - PubMed
  16. J Vasc Interv Radiol. 2003 Jun;14(6):779-83 - PubMed

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