Comparison of Long-Term Outcomes of Myomectomy and Uterine Artery Embolization

Broder, Michael S.; Goodwin, Scott C.; Chen, Gary; Tang, Lei-Han; Constantino, Mary M.; Nguyen, Michael H.; Yegul, Tugce N.; Erberich, Heike

doi:10.1097/00006254-200302000-00013

Cited by 30 publications

(49 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…By comparison to hysterectomy and myomectomy, UAE is associated with similar patient satisfaction, a shorter hospital stay, a faster return to normal activity, but a higher rate of minor complications 93 . Long-term studies indicate a reoperation rate of 20% to 33% within 1.5 to 5 years of UAE [94][95][96] . While successful pregnancies can occur following UAE 97 , complications with abnormal placentation have been described 98 .…”

Section: Surgical and Interventional Approachesmentioning

confidence: 99%

Contemporary management of uterine fibroids: focus on emerging medical treatments

Singh

Belland

2014

Current Medical Research and Opinion

View full text Add to dashboard Cite

show abstract

Section: Surgical and Interventional Approachesmentioning

confidence: 99%

Contemporary management of uterine fibroids: focus on emerging medical treatments

Singh

Belland

2014

Current Medical Research and Opinion

View full text Add to dashboard Cite

show abstract

“…Indeed, studies comparing clinical results of myomectomy (open surgery or laparoscopy) and UAE revealed similar clinical success rates [16][17][18][19], with advantages for UAE concerning shorter hospital stay and recovery time [20], since adequate indication and successful performance bases on four important aspects: strict definition of the clinical entities involved in the disease and its treatment, careful selection of patients, technique of embolization, and post-surgical management.…”

Section: Discussionmentioning

confidence: 99%

Symptoms Improvement after Uterine Artery Embolization for Myomas Management

Belczak¹,

Szejnfeld²,

Silva³

et al. 2017

Vasc Med Surg

View full text Add to dashboard Cite

show abstract

“…4 Conservative treatment is indicated in women of reproductive age who wish to preserve fertility. Myomectomy, also a surgical option, is the standard of care for cases in which infertility is a problem 22,23 ; nevertheless, this procedure is also associated with risks, including surgical hemorrhage, uterine cavity impairment, and the need of further invasive treatment (emergency hysterectomy). The uterine scar increases the chance of rupture during future pregnancies.…”

Section: Discussionmentioning

confidence: 99%

“…34 In another series of 30 patients with myomectomy, 25 (83%) had improvement in menorrhagia, 19 (63%) in dysmenorrhea, and 19 (63%) in pelvic pain. 22 A case series evaluating 395 women after UAE for symptomatic fibroids observed improvement in menstrual bleeding and pelvic pain in 84% and 79%, respectively, after 16 months. 23 In our study, 34 (39%) of 87 patients who had sclerotherapy improved from menorrhagia, 45 (51.7%) from dysmenorrhea, and 26 (29.8%) from pelvic pain.…”

Section: Discussionmentioning

confidence: 99%

Midterm Outcome of Ultrasound-Guided Alcohol Gel Sclerotherapy for Symptomatic Leiomyoma

Pessoa

Gurgel

Ávila

et al. 2010

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

AbbreviationsGnRH, gonadotropin-releasing hormone; UAE, uterine artery embolization eiomyoma, also known as a fibromyoma or fibroid, is a frequent gynecologic disorder affecting approximately 25% to 35% of women, especially black women, at some point in their lives. 1Although most patients are asymptomatic, the fact that about 50% have clinical symptoms explains the high number of hysterectomies performed all over the world (538,722 per year for benign disease in the United States in 2003).2 The main symptoms of leiomyoma include heavy menstrual bleeding, pelvic pain, abdominal swelling, intestinal, urinary, or venous pressure, and hemorrhagic vaginal discharge (bleeding between periods).3 In addition, myomas are considered infertility factors, although the mechanisms of this association have not been clarified. 4 Diagnosis has been facilitated in the past few years by dissemination of ultrasound techniques. The sensitivity and specificity of ultrasound for diagnosing leiomyomas are as high as 99% and 91%, respectively. L ArticleObjective. The purpose of this study was to describe the outcome of ultrasound-guided ethanol gel sclerotherapy of myomatous nodules 1 to 18 months after treatment. Methods. A total of 118 consecutive patients with a diagnosis of symptomatic leiomyomas referred for ethanol gel sclerotherapy were studied between November 2005 and July 2007. Clinical (self-administered symptom questionnaire) and ultrasound follow-ups were done 1 to 2, 6 to 8, and 12 to 18 months after the procedure. Results. The mean baseline volumes ± SD were 223.3 ± 158.3 cm 3 for the uterus and 68.4 ± 110.5 cm 3 for the dominant fibroid. The most common adverse reaction in the immediate postoperative period was pelvic pain in 27.1% of the patients, but 58.4% had no reactions. After 12 months, a 29.5% reduction in uterine volume was observed in 64.7% of the patients. A 55.5% reduction in dominant fibroid volume was observed in 82.8% of the patients. Pelvic pain improved in 29.8% of the sample, dysmenorrhea in 51.7%, and menstrual flow in 39%. Most patients (77%) reported being satisfied or very satisfied with the treatment. Conclusions. The results suggest that ethanol gel sclerotherapy is a safe, conservative alternative for treating symptomatic uterine leiomyomas. Further randomized studies are necessary to determine the suitability and indications of this procedure in comparison to other minimally invasive techniques.

show abstract

Comparison of Long-Term Outcomes of Myomectomy and Uterine Artery Embolization

Cited by 30 publications

References 0 publications

Contemporary management of uterine fibroids: focus on emerging medical treatments

Contemporary management of uterine fibroids: focus on emerging medical treatments

Symptoms Improvement after Uterine Artery Embolization for Myomas Management

Midterm Outcome of Ultrasound-Guided Alcohol Gel Sclerotherapy for Symptomatic Leiomyoma

Contact Info

Product

Resources

About