Uterine artery embolisation in the treatement of uterine myoma

Abstract

The objective of the study was to demonstrate the efficiency of uterine arteries embolisation in the treatment of uterine myoma (reduced size nodules, symptoms, menstrual regulation).As methods was used a retrospective study was performed in 30 patients, aged 35-45 years, admitted in the Republican Hospital in 2004-2007 with a diagnosis of uterine myoma and clinical (menorrhagia, dysmenorrhea, abdominal pain , pelvic pain, dysuria, constipation). Patients were performed: Ultrasound of the internal organs until and after the uterine arteries embolization (6 months), endometrial biopsy with morfohistological examination, examination of the sexually transmitted infections. Myomas nodules sizes were: 7% ±10 cm, 27% ±9cm, 17% ±7 cm, 30% ±5 cm, 20% ±3 cm.The results of the study showed that in 96. 7% of patients (26) reduced the size of myomas nodules, had improved symptoms, menstrual cycle was set. In the group of patients with nodules of 2­ 6 cm (67%) as a result of the embolisation nodules completely disappeared over a year. Nodule size larger than 6 cm or shrink by more than Vi, need a conservative myomectomy. At 3. 3% of patients (1) amenorrhea has been installed at 3 months after surgery. At 6. 6% of patients (2) soon after intervention were bom. As a conclusion we mention that the study showed that UAE is an effective way, no treated case was not finished with a hysterectomy. Menstrual function was preserved in 96.7% cases, 2 patients recovered and reproductive function. The method is final if nodules smaller than 6 cm or submucosa as transvaginal abolition or necrotizing. If nodules > 6 cm embolisation method only reduces them and is less bloody conservative myomectomy.