Pregnancy 4 Months After Uterine Artery Embolization

Pietura, Radosław; Jakiel, Grzegorz; Swatowski, D; Semczuk, M; Szczerbo-Trojanowska, Małgorzata

doi:10.1007/s00270-004-9026-7

Cited by 9 publications

(4 citation statements)

References 14 publications

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“…The first reports of pregnancy after embolization of uterine myomata and studies of a few small series began to appear in the literature in 2000 (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41). At the time of this writing, barely 100 cases of pregnancy after UFE have been described.…”

Section: Discussionmentioning

confidence: 93%

“…Nevertheless, because of uncertainty about the effects of UFE on fertility, exclusion of women who still want to become pregnant has been recommended, and studies of ovarian function in patients who have undergone the procedure have been called for (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). Clinical studies reporting the first cases of pregnancy after UFE began to be published in 2000 (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41).…”

mentioning

confidence: 97%

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Pregnancy after uterine fibroid embolization: follow-up of 100 patients embolized using tris-acryl gelatin microspheres

Pabón

Magret

Unzurrunzaga³

et al. 2008

Fertility and Sterility

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Section: Discussionmentioning

confidence: 93%

mentioning

confidence: 97%

Pregnancy after uterine fibroid embolization: follow-up of 100 patients embolized using tris-acryl gelatin microspheres

Pabón

Magret

Unzurrunzaga³

et al. 2008

Fertility and Sterility

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“…Table 4). (It should be noted that the review by Goldberg (2004) [31] did not include 4 individual case histories of pregnancies after UAE [26,[32][33][34], so the total number of published births and pregnancies carried to term after UAE is currently at least 337.) Two important aspects will be discussed separately below: the risk of spontaneous abortion and obstetric outcome data after UAE when the pregnancy is carried to term.…”

Section: Pregnancy and Uae !mentioning

confidence: 99%

Uterine Fibroid Embolisation - Potential Impact on Fertility and Pregnancy Outcome

David

Kröncke

2013

Geburtsh Frauenheilk

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The current standard therapy to treat myomas in women wishing to have children consists of minimally invasive surgical myomectomy. Uterine artery embolisation (UAE) has also been discussed as another minimally invasive treatment option to treat myomas. This review evaluates the literature of the past 10 years on fibroid embolisation and its impact on fertility and pregnancy. Potential problems associated with UAE such as radiation exposure of the ovaries, impairment of ovarian function and the impact on pregnancy and child birth are discussed in detail. Previously published reports of at least 337 pregnancies after UAE were evaluated. The review concludes that UAE to treat myomas can only be recommended in women with fertility problems due to myomas who refuse surgery or women with an unacceptably high surgical risk, because the evaluated case reports and studies show that UAE significantly increases the risk of spontaneous abortion; there is also evidence of pathologically increased levels for other obstetric outcome parameters. There are still very few prospective studies which provide sufficient evidence for a definitive statement on the impact of UAE therapy on fertility rates and pregnancy outcomes.

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“…Noninvasive uterine artery embolization does not apply to women who wish their fertility to be preserved, as this method compared with surgical myomectomy increases the risk of miscarriage, premature delivery, intrauterine growth restriction, and postpartum hemorrhage [ 14 – 18 ]. The recommended treatment in reproductive age women is abdominal laparotomy or laparoscopic myomectomy.…”

Section: Introductionmentioning

confidence: 99%

Removal of uterine fibroids by mini-laparotomy technique in women who wish to preserve their uterus and fertility.

Księżakowska-Łakoma

Żyła

Wilczyński

2015

Videosurgery and Other Miniinvasive Techniques

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IntroductionThe minilaparotomy is considered to be a safe and effective alternative to laparoscopy and abdominal laparotomy in myomectomy cases.AimTo perform a retrospective analysis of pre-surgical assessment, surgical course and post-operational parameters in women wishing to preserve their uterus and fertility who underwent myomectomy by minilaparotomy in the Department of Gynecology and Gynecological Oncology at the Polish Mother's Memorial Hospital – Research Institute in Lodz in the years 2008–2014.Material and methodsA total of 76 patients were qualified for minilaparotomy due to a benign gynecological pathology. Only 21 patients with uterine fibroids who wanted to preserve their uterus and fertility were appropriate for this study. Patients’ records were analyzed in terms of: epidemiological history, surgical course, postoperative stay and pathological data. All studied patients were asked in 2014 about conception and pregnancy after minilaparotomy.ResultsThe median age was 35.7 years. The median patient body mass index (BMI) was 24 kg/m2. The average decrease of hemoglobin was 1.5 g/dl. The size of the myoma was between 1.5 and 15 cm. There were no serious post-surgical complications. The size of the myoma did not correlate significantly with operation time, BMI or blood loss. There was no statistically significant dependence between operation time and average hematocrit and hemoglobin decrease. In our group 7 patients who had undergone myomectomy tried to achieve conception. Four of them succeeded in pregnancy and gave birth to healthy infants.ConclusionsMyomectomy performed via minilaparotomy is a safe procedure for patients willing to preserve their uterus and fertility, and it combines some advantages of both laparotomy and laparoscopy.

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Pregnancy 4 Months After Uterine Artery Embolization

Cited by 9 publications

References 14 publications

Pregnancy after uterine fibroid embolization: follow-up of 100 patients embolized using tris-acryl gelatin microspheres

Pregnancy after uterine fibroid embolization: follow-up of 100 patients embolized using tris-acryl gelatin microspheres

Uterine Fibroid Embolisation - Potential Impact on Fertility and Pregnancy Outcome

Removal of uterine fibroids by mini-laparotomy technique in women who wish to preserve their uterus and fertility.

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