Uterine artery embolization: is it reliable for myoma treatment?

Authors : Nurullah Dogan, Omer Fatih Nas

Pages : 127-134

Doi:10.18621/eurj.293133

View : 19 | Download : 14

Publication Date : 2017-07-04

Article Type : Research Paper

Abstract :Objective.   We aimed to share the long-term technical and clinical success results, complications and radiologic follow-up findings in our myoma cases treated with uterine artery embolization insert ignore into journalissuearticles values(UAE); ); and to make a contribution to the literature data on this subject.  Method.   The study was retrospective and the results of 70 patients who underwent UAE for myoma treatment at our institute between January 2012 and January 2015 were analyzed.  Results.  The age range was 22 to 46 years and the mean age 34 years. The postprocedural follow-up duration was 6 to 24 months and the mean follow-up duration was 14 months. The technical success rate was 100% and the clinical success rate was 84.7%. On postprocedural follow-up, fibroid passage was seen in 2 patients insert ignore into journalissuearticles values(2.85%);, severe hypermenorrhea in 4 insert ignore into journalissuearticles values(5.7%); and postembolization syndrome in 6 insert ignore into journalissuearticles values(8.5%);. Our myoma recurrence rate was 11.36% insert ignore into journalissuearticles values(n=5);. The UAE procedure did not need to be repeated in any of the patients.  Conclusions.  UAE is a reliable alternative to hysterectomy and myomectomy. We believe that UAE should be preferred in patients who are recommended hysterectomy or are predicted to potentially need hysterectomy during myomectomy. 
Keywords : Uterine artery embolization, myoma, myomectomy