Uterine Artery Embolization for Fibroids

Thanikasalam, K and Hebbar, Shripad and Shashikala, K (2007) Uterine Artery Embolization for Fibroids. Calicut Medical Journal, 5 (4). pp. 1-11.

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Abstract

Uterine leiomyomata, commonly known as fibroids, are extremely common benign lesions of uterus, usually managed by surgical management when symptomatic. The surgical options include myomectomy or hysterectomy. However surgery is associated with significant morbidity in terms of increased blood loss, operating time, post-operative complications and longer hospital stay. Another alternative treatment is hormonal therapy using gonadotrophin-releasing hormone (GnRH) agonists which is mainly used primarily as a temporary preoperative measure to reduce tumour size and vascularity. Though this approach dramatically improves symptoms and reduces fibroid size, these tumours re-grow to their original size within a few months of discontinuing treatment and are associated with adverse effects; such as osteoporosis, menopausal symptoms and amenorrhoea. Uterine artery embolization (UAE) is one of the new treatment modality available presently in major institutions as an alternative to hysterectomy in those women wishing to preserve reproductive function. UAE is also cost-effective and is associated with a short hospital stay and may be an option in those women with major medical illness including morbid obesity, and Jehovah’s witnesses. The following treatise addresses to selection of patients, contraindications, details of the procedure and available evidence with regard to safety and benefits of the procedure.

Item Type: Article
Uncontrolled Keywords: uterine fibroids; leiomyoma; myomectomy; fibroid embolization.
Subjects: Medicine > MMMC Maleka
Medicine > KMC Manipal > Obstetrics & Gynaecology
Depositing User: KMC Manipal
Date Deposited: 28 Aug 2013 04:22
Last Modified: 28 Aug 2013 04:22
URI: http://eprints.manipal.edu/id/eprint/136943

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