Combined myomectomy and uterine artery embolization.

Abstract

UNLABELLED:

Objective: To evaluate the safety and efficacy of uterine artery embolization combined with endoscopic myomectomy.

MATERIAL AND METHODS:

We conducted a retrospective chart review of patients (n = 125) who underwent myomectomy concurrent with embolization within one month. We assessed two groups: 1) uterine artery embolization followed by hysteroscopic myomectomy and 2) uterine artery embolization followed by laparoscopic myomectomy.

RESULTS:

Following the combination procedures, 72% of the surveyed women reported symptom improvement. With the combined procedures, 92.5% of patients experienced reduction in myoma diameter and 87.5% of patients had decreased uterine size after an average of 4.70 months post subsequent procedure. The amount of decrease in the uterine volume (p = 0.39) and fibroid size (p = 0.23) were not significant between the two endoscopic myomectomy groups.

CONCLUSIONS:

Combining myomectomy with uterine artery embolization is a safe and effective procedure in treating symptoms and reducing myoma and uterine volumes.

• Authors: Bruce McLucas, William D Voorhees 3rd
• Journal: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy (Minim Invasive Ther Allied Technol) Vol. 23 Issue 6 Pg. 361-5 (Dec 2014) ISSN: 1365-2931 [Electronic] England
• PMID: 25035938 (Publication Type: Journal Article)

Topics

• Adult
• Female
• Hemorrhage
• Humans
• Length of Stay
• Middle Aged
• Myoma (surgery, therapy)
• Retrospective Studies
• Uterine Artery Embolization (methods)
• Uterine Myomectomy (methods)