Assessing Safety and Efficacy of Uterine Artery Embolization in Symptomatic Uterine Fibroids | ||||
| The Medical Journal of Cairo University | ||||
| Article 44, Volume 87, September, September 2019, Page 3089-3095 PDF (664.26 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2019.59511 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| HAZEM I. KORASHI, M.D.; AHMED H. SOLIMAN, M.D.; AHMED EL SHIMY, M.D. | ||||
| The Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Ain Shams University | ||||
| Abstract | ||||
| Abstract Background: Uterine artery embolization (UAE) is a modality for management of symptomatic uterine leiomyomata. UAE for uterine fibroids in Egypt is a procedure with minimal reported data. Aim of Study: To determine safety and efficacy of UAE in treating uterine leiomyomata in Egyptian population. Patients and Methods: 45 consecutive patients undergoing UAE for uterine leiomyomata management were questioned for fibroid associated manifestation and symptomatic improve-ment at predetermined follow-up clinical visits. Data were obtained via verbal questionnaire. Data collected included early, late procedural related complications and possible gynecological interventions were gathered. Follow-up imaging by MRI at three and six months was carried out in order to measure reduction in uterine, dominant leiomyomata volume post-UAE. Results: Technical success was achieved in 100% of patients. No significant complication took place with no necessary post procedural-related gynecological interventions. Follow-up duration was 6 months. Heavy menstrual bleeding improved in 91.1% of patients at 3 months and in 95.6% at 6 months post treatment. Pressure-related symptoms improved in 84.4% of patients at 3 months and in 95.6% at 6 months after treatment. Convenient control of pain was evident in 55.6% of patients at 3 months and in 73.3% at 6 months post-UAE. MRI showed highly significant reduction in uterine as well as dominant fibroid volumes (24.4, 31.1 % at 3, 6 months), (33.3, 44.4% at 3, 6 months) respectively. Conclusion: Uterine artery embolization is an effective procedure in treatment of symptomatic uterine leiomyomata with reduced post-procedural complications. | ||||
| Keywords | ||||
| Uterine artery embolization; Uterine leiomyomata; Fibroid | ||||
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