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embolisation of myoma

Włodzimierz Baranowski
Uterine myomas (fibromas, leiomyomas) are the most common tumours in women, and their clinical signs and symptoms are presented by 25-40% of patients with these benign tumours. According to current guidelines, the armamentarium for myoma management consists of: medical therapy (GnRH, SPRMs), non-surgical alternatives including uterine artery embolisation (UAE), vaginal temporary occlusion of uterine arteries using clamp-like device or MRgFUS technique, and surgical treatment (including minimally invasive techniques)...
December 2016: Przeglad Menopauzalny, Menopause Review
J Gevaerd Martins, D Gaudenti, F Crespo, D Ganesh, U Verma
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
T Kröncke, M David
No abstract text is available yet for this article.
May 2014: Geburtshilfe und Frauenheilkunde
Hervé Fernandez
The uterine fibroid is a benign tumour. The prevalence, in all the population, is 50% for european women and 80% for black women. 30% of fibroids are symptomatic. The new FIGO classification gives 7 positions (0 to 7), submuccus (0, 1, 2), interstitial (3, 4, 5), subserous (6, 7). Diagnosis is performed by 2D and 3D ultrasound which could be associated by hysterosonography. Hysteroscopy and MRI could be proposed. Hysterectomy is the main treatment, if possible by vaginal or laparoscopic way. Conservative treatment (myomectomy) could be realized by hysteroscopic, laparoscopic way or laparotomy for patients who desire to preserve fertility...
April 2014: La Revue du Praticien
Margit Dueholm, Sten Langfeldt, Hossain M Mafi, Gitte Eriksen, Edvard Marinovskij
OBJECTIVE: To evaluate outcome of invasive gynecological re-interventions after uterine artery embolisation (UAE) in relation to leiomyoma characteristics. DESIGN: A cohort of 114 women with symptomatic myomas underwent UAE. Myoma characteristics were determined by contrast-enhanced magnetic resonance imaging (MRI) before and 6 months after treatment. The median follow-up time after UAE was 55.9 months; (range 20-116). Data on gynecological re-interventions were obtained for all patients and were analysed using the Kaplan-Meier method...
July 2014: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Vanessa Kahn, Jean-Pierre Pelage, Henri Marret
Myoma treatment by uterine artery embolisation (UAE) using non-spherical PVA particles or calibrated tris-acryl microspheres>500μm is effective in more than 90 % of cases in the short-term. In the long-term, menorrhagia, bulk-related symptoms and pelvic pain are significantly improved or eliminated in 75 % of cases at 5 to 7 years. At 6 months, uterine volume reduction and larger myoma volume reduction varies between 30 to 60 % and 50 to 80 % respectively. During hospital stay the complication rate is very low, less than 3 % mostly urinary infection and pain...
July 2013: La Presse Médicale
Philippe Bouchard
Excessive menstrual bleeding reflects aberrant angiogenesis, generally due to submucosal myomas and endometrial polyps, although it is also frequently observed with long-term progestin-only contraception, impaired haemostasis and hormonal disorders. Surgery (hysterectomy, endometrial ablation) is used too frequently. Uterine artery embolisation is also an option for myomas. Medical treatments include combined oral contraception, progestins and levonorgestrel-releasing Intrauterine System. Gonadotropin-releasing hormone agonists provide significant improvements in bleeding for myomas, but also decrease estrogen secretion (e...
December 2011: Gynecological Endocrinology
H Marret, A Bleuzen, A Guérin, M-A Lauvin-Gaillard, D Herbreteau, F Patat, F Tranquart
OBJECTIVE: Many women with myomas desire uterine conservation. Magnetic resonance-guided focused ultrasound surgery (MRgFUS) is a new non-invasive therapy. We describe our early results regarding efficacy and safety of MRgFUS for the treatment of uterine leiomyomas. PATIENTS AND METHODS: Fifty-two French women, over 18 years of age, who were candidates for surgical myomectomy, hysterectomy or uterine artery embolization due to symptomatic myomas were treated by MRgFUS (ExAblate 2000(®), InSightec) and followed up for at least 6 months...
January 2011: Gynécologie, Obstétrique & Fertilité
J-L Brun, G André, E Descat, H Creux, J Vigier, D Dallay
OBJECTIVES: To assess the efficacy of therapies in menorrhagia related to atypical endometrial hyperplasia, polyps, myoma, adenomyosis and arteriovenous malformation of the uterus. MATERIALS AND METHODS: Medline and Cochrane contents were searched to June 2008. RESULTS: Atypical endometrial hyperplasia is classically treated by hysterectomy, but may temporarily regress under hormone therapy (progestins, Gn-RH agonists) in women of childbearing age...
December 2008: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
A Muller Vranjes, Z Popović, I Vlahović, D Habek, Z Kasac
Heterotopic pregnancy is a simultaneous occurrence of intra-uterine pregnancy and ectopic pregnancy. The incidence of ectopic pregnancy has increased as a consequence of assisted reproduction and ovulation stimulation agents. In this report, we describe the case of a 34-year-old nulliparous woman who became pregnant after ovulation induction with clomiphene. According to her gynaecologic history, she had embolisation of a uterine myoma. The report presents a case of ectopic and twin intra-uterine pregnancy...
2006: Fetal Diagnosis and Therapy
Nazli Hameed, M Asghar Ali
Recently there is an increasing trend for minimal access surgery (MAS) for treatment of uterine myomas. Laparoscopic myomectomy has provided minimal invasive alternative to laparotomy for subserosa and intramural myomas. It is associated with faster postoperative recovery and potentially less postoperative adhesions. Main concerns are however subsequent fertility, reproductive outcome and long-term recurrence. Other alternatives are laparoscopic assisted myomectomy, laparoscopic ultraminilaparotomic embolised myomectomy, laparoscopically assisted transvaginal myomectomy, myolysis and cryosurgery...
January 2004: Journal of Ayub Medical College, Abbottabad: JAMC
M Mára, Z Fucíková, M Masata, J Masková, D Kuzel, J Zivný
OBJECTIVE: Review of current knowledge about uterine fibroids management in young women. Analysis of possible diagnostic and therapeutic algorithms regarding fertility preserving. DESIGN: Review article. SETTING: Department of Obstetrics and Gynecology, 1st Faculty of Medicine and the General Faculty Hospital, Charles University, Prague. METHODS: Analysis of the facts in literature (texts in medical journals, monographies, textbooks, internet database Medline and Ovid) and authors' clinical experience...
January 2003: Ceská Gynekologie
P N Lohle, L E Lampmann, P F Boekkooi, H A Vervest, J J Pieters
Selective percutaneous embolisation of the uterine arteries was carried out on three women with hypermenorrhea caused by uterine myomata. Two of the patients experienced resumption of the normal menstrual pattern. In the first case the myoma became 30% smaller and in the second case, the fibroid was expelled into the vagina six months later. The third patient suffered a fever one week after the treatment due to an infected necrotic myoma, after which a hysterectomy was carried out. The embolisation of myomata can offer an alternative to medicinal treatment, myomectomy or hysterectomy...
April 21, 2001: Nederlands Tijdschrift Voor Geneeskunde
W M Ankum, J A Reekers
Uterine myomas are a common cause of menorrhagia and other complaints, and a common indication for hysterectomy. For several years now, bilateral uterine artery embolisation has been applied as an alternative to surgery. The effectiveness of this treatment modality in controlling abnormal bleeding patterns and in reducing uterine size, as described in early reports, seems to be confirmed in larger series of patients. However, the disadvantages have also become apparent, with subsequent ovarian failure and sepsis being the most worrisome complications...
April 21, 2001: Nederlands Tijdschrift Voor Geneeskunde
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