J Korean Radiol Soc.
2005 Jun;52(6):401-407. 10.3348/jkrs.2005.52.6.401.
Uterine Artery Embolization for the Treatment of Symptomatic Fibroids
- Affiliations
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- 1Department of Diagnostic Radiology, Bundang CHA General Hospital, Pochon CHA University, Korea. mdkim@cha.ac.kr
- 2Department of Obstetrics & Gynecology, Bundang CHA General Hospital, Pochon CHA University, Korea.
- KMID: 1834249
- DOI: http://doi.org/10.3348/jkrs.2005.52.6.401
Abstract
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PURPOSE: The aim of this study was to determine the potential usefulness of uterine artery embolization (UAE) for the management of uterine leiomyoma.
MATERIALS AND METHODS
Sixty nine patients (mean age; 40.3 years, age range; 31-52 years) who underwent UAE for symptomatic fibroids (with menorrhagia, dysmenorrhea and bulk-related symptoms) from January 2000 to December 2000 were retrospectively analyzed. The mean follow-up period was 3.5 months (range: 1-8 months). The fibroids ranged in size from 2.0 cm to 13.2 cm with a mean size of 5.8 cm. We performed embolization using polyvinyl alcohol particles (250-710microgram). The improvement of the clinical symptoms was analyzed. Reduction of the uterine and predominant fibroid volumes was assessed using MRI.
RESULTS
Symptom improvement for the menorrhagia (87.5%), dysmenorrhea (83.3%) and the bulk-related symptoms (79.2%) was reported. Complications included ovarian failure in four patients (5.8% of the total patients, mean age: 43.3 yrs) and infection in three patients (4.3% of the total patients) who underwent conservative management with intravenous antibiotics and analgesics. The volume reduction rate of the uterus and the predominant fibroids after uterine artery embolization were 36.3% and 56.6%, respectively.
CONCLUSION
UAE is a promising new treatment for symptomatic fibroids and may be a valuable alternative to hysterectomy.
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