Comparative outcomes of hysteroscopic examinations performed after uterine artery embolization or laparoscopic uterine artery occlusion to treat leiomyomas

David Kuzel; Michal Mara; Petr Horak; Kristyna Kubinova; Jana Maskova; Pavel Dundr; Josef Cindr

doi:10.1016/j.fertnstert.2010.12.014

Comparative outcomes of hysteroscopic examinations performed after uterine artery embolization or laparoscopic uterine artery occlusion to treat leiomyomas

Fertil Steril. 2011 May;95(6):2143-5. doi: 10.1016/j.fertnstert.2010.12.014. Epub 2010 Dec 31.

Authors

David Kuzel¹, Michal Mara, Petr Horak, Kristyna Kubinova, Jana Maskova, Pavel Dundr, Josef Cindr

Affiliation

¹ Department of Obstetrics and Gynecology, Charles University, First Faculty of Medicine and General Faculty Hospital in Prague, Prague, Czech Republic.

PMID: 21195400
DOI: 10.1016/j.fertnstert.2010.12.014

Abstract

Hysteroscopic examination of the uterine cavity revealed that patients previously treated for intramural myoma(s) by uterine artery embolization had a significantly higher incidence of abnormal findings compared with patients treated by laparoscopic occlusion of uterine arteries (59.5% vs. 2.7%). In particular, there was a higher incidence of necrosis in the uterine cavity of patients subjected to uterine artery embolization (43.2%) compared with patients after surgical uterine artery occlusion (2.7%).

Publication types

Clinical Trial
Comparative Study
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Female
Humans
Hysteroscopy* / adverse effects
Hysteroscopy* / methods
Incidence
Laparoscopy* / adverse effects
Laparoscopy* / methods
Laparoscopy* / rehabilitation
Leiomyoma / diagnosis
Leiomyoma / surgery*
Ligation / adverse effects
Ligation / methods
Necrosis / epidemiology
Prognosis
Treatment Outcome
Uterine Artery / surgery*
Uterine Artery Embolization / adverse effects
Uterine Artery Embolization / methods*
Uterine Artery Embolization / rehabilitation
Uterine Neoplasms / diagnosis
Uterine Neoplasms / surgery*
Uterus / pathology