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- Title
Uterine restoration after repeated sloughing of fibroids or vaginal expulsion following uterine artery embolization.
- Authors
Park, Hye; Kim, Man; Kim, Nack; Kim, Hee; Yoon, Sang-Wook; Park, Won; Lee, Mee; Park, Hye Ri; Kim, Man Deuk; Kim, Nack Keun; Kim, Hee Jin; Park, Won Kyu; Lee, Mee Hwa
- Abstract
The aim of our study is to present our experience with uterine restoration after repeated sloughing of uterine fibroids or transvaginal expulsion following uterine artery embolization (UAE) and to determine its safety and outcome. One hundred and twenty-four women (mean age, 40.3 years; age range, 29–52 years) with symptomatic uterine fibroids were included in this retrospective study. We performed arterial embolization with poly(vinyl alcohol) particles (250–710 μm). Clinical symptoms and follow-up information for each patient were obtained through medical records. At an average of 3.5 months (range, 1–8 months) after embolization, magnetic resonance imaging examinations with T1- and T2-weighted and gadolinium-enhanced T1-weighted images were obtained for all patients. The mean follow-up duration was 120 days (90–240 days). Eight (6.5%) patients experienced uterine restoration after repeated sloughing of uterine fibroids or spontaneous transvaginal expulsion. The locations of the leiomyomas were submucosal ( n=5), intramural ( n=2) and transmural ( n=1). The maximum diameter of the fibroids ranged from 3.5 to 18.0 cm, with a mean of 8.4 cm. The time interval from embolization to the uterine restoration was 7–150 days (mean 70.5 days). The clinical symptoms before and during vaginal sloughing or expulsion were lower abdominal pain ( n=4), vaginal discharges ( n=3), infection of necrotic myomas ( n=2) and cramping abdominal pain ( n=1). Gentle abdominal compression ( n=1) and hysteroscopic assistance ( n=1) were required to remove the whole fibroid. No other clinical sequelae, either early or delayed, were documented. Magnetic resonance images revealed the disappearance of leiomyomas, intracavitary rupture resulting in transformation of intramural or transmural myomas into submucosal myomas and localized uterine wall defects. Although the small size of this study precludes a strict conclusion, there appear to be few serious complications directly related to vaginal expulsion. Vaginal expulsion or fibroid sloughing is a possible course following UAE that is manageable, and the patients should be informed about this possibility.
- Subjects
UTERINE fibroids; SMOOTH muscle tumors; ABDOMINAL pain; MUSCLE tumors; DIAGNOSTIC imaging; MEDICAL imaging systems; UTERINE fibroid treatment; HEMOSTATICS; POLYSTYRENE; UTERINE tumors; ARTERIES; CHEMICAL elements; HYSTEROSCOPY; LONGITUDINAL method; MAGNETIC resonance imaging; NECROSIS; ORGANOMETALLIC compounds; SAFETY; SORBITOL; TIME; UTERUS; THERAPEUTIC embolization; TREATMENT effectiveness; CONTRAST media; RETROSPECTIVE studies; VAGINAL discharge; TUMOR treatment; THERAPEUTICS
- Publication
European Radiology, 2005, Vol 15, Issue 9, p1850
- ISSN
0938-7994
- Publication type
Academic Journal
- DOI
10.1007/s00330-005-2700-6