Comparison between the outcome of single versus multiple uterine fibroids after uterine artery embolization

Abstract

Background: Uterine fibroids are the most common benign tumor of the reproductive tract in women. Uterine artery embolization has been approved as an alternative treatment option for uterine fibroids to reduce uterine and fibroid volumes as well as to relieve the patient symptoms. The current study included 80 patients with symptomatic uterine fibroids. All patients underwent pre-embolization MRI, uterine artery embolization, and followup post-embolization MRI at 6 months post procedure for a reduction in uterine and dominant fibroid volumes. The aim of the study was to assess the role of transcatheter uterine artery embolization in reducing the uterine fibroid volume. Results: There was a significant difference in the uterine volume reduction between a group with single fibroids and a group with multiple uterine fibroids The mean uterine volume reduction in the first group was 46.5% compared to 37.4% reduction in the second group. While there was no significant difference in the dominant fibroid volume reduction between both groups (48.8% and 44.9% respectively). Conclusions: UAE has a high efficacy in the reduction of both the uterine volume and the dominant fibroid volume, which results in improvement in patient's quality of life.

Experience with trans radial uterine artery embolisation for uterine fibroids in a tertiary center in Saudi Arabia

“…In elaboration, according to Lipscomb, et al [39] ibroids larger than 8.7 cm showed lesser reduction in size where stated each centimeter increase in ibroid size there was a corresponding 10% increase in failure rate. Having multiple ibroids per se is another cause, as El-Sharkawy, et al [40] observed a signi icant reduction in single rather than multiple ibroids.…”