Uterine Artery Embolization versus Myomectomy: Impact on Quality of Life—Results of the FUME (Fibroids of the Uterus: Myomectomy versus Embolization) Trial

2011 ◽  
Vol 35 (3) ◽  
pp. 530-536 ◽  
Author(s):  
Isaac T. Manyonda ◽  
Mark Bratby ◽  
Jessica S. Horst ◽  
Nassera Banu ◽  
Maha Gorti ◽  
...  
2020 ◽  
Vol 20 (1-2) ◽  
pp. 13-18
Author(s):  
Elmira T. Nurmukhametova

Uterine fibroids are one of the main causes of hysterectomy. This radical method of treatment allows to control such symptoms as pain and bleeding, but significantly worsens womens quality of life, preventing them from their childbearing function. This article includes the results of domestic and foreign studies on organ-preserving methods of treatment of uterine fibroids published within 10 years. The method of uterine artery embolization, which is preferred by an increasing number of doctors and patients suffering from fibroids, is also described in the article. The search for articles was carried out in the databases Pubmed, Web of Science, Scopus.


2011 ◽  
Vol 26 (8) ◽  
pp. 2036-2042 ◽  
Author(s):  
C. Scheurig-Muenkler ◽  
A. Lembcke ◽  
V. Froeling ◽  
M. Maurer ◽  
B. Hamm ◽  
...  

2020 ◽  
Vol 4 (2) ◽  
pp. 117
Author(s):  
Ibrahim Alrashidi ◽  
Hayat Alharthy ◽  
Faisal Alahmari ◽  
Sultan Alammari ◽  
Hatim Alobaidi ◽  
...  

2018 ◽  
Vol 4 (22) ◽  
pp. 22
Author(s):  
Cătălin George Nenciu ◽  
Mihai Dumitraşcu ◽  
Adina-Elena Nenciu

2019 ◽  
Author(s):  
Ibrahim Alrashidi ◽  
Faisal Alahmari ◽  
Hayat Matouk Alharthy ◽  
Abdulaziz Almat’hami ◽  
Abdulwaheed Alruhaimi ◽  
...  

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
R H Bassiouny ◽  
A M S Elshimy ◽  
B S Tawfik

Abstract Background Uterine Artery Embolization (UAE) is a well-established treatment of symptomatic fibroids with clinical efficacy comparable with traditional surgical treatment. UAE is now commonly proposed as an organ preserving treatment to the population of younger women willing to conceive. It has been proven, in a large cohort of women wishing to conceive before embolization, that complete pregnancies can occur after UAE Objectives The study aims to assess the effect of uterine artery embolization using the different types of embolic microspheres in treatment of patients with uterine fibroid. Patients and Methods Type of Study: prospective study. Study Setting: At the radiology department of Ain Shams University hospitals and Ain Shams University Specialized Hospitals. Study Period: 6-12 months. Results High symptom severity score indicates severe symptoms and a high HRQOL score indicates a good quality of life. The mean UFS questionnaire baseline score was 70± 11.51 prior to embolization and became 45± 9.34 three months following embolization which indicates a good symptomatic response to the microspheres embolization. The mean QOL baseline score was 65± 8.58 prior to embolization and 81± 6.48 three months following embolization. Conclusion UAE using embolic microsphere is , an effective, minimally invasive procedure and easily one day procedure which showed competitive promising and well proved results when compared to other modalities outcomes in treating uterine fibroids such as conventional surgery. It deserves our attention to it's value and efficacy for the sake of the patient as a minimally invasive procedure providing better quality of life , using Embosphere and Embozene microspheres have the same symptomatic effect and volume reduction after three months follow up in compare with using Embosphere alone or with spherical polyvinyl alcohol particles.


2004 ◽  
Vol 190 (6) ◽  
pp. 1697-1703 ◽  
Author(s):  
Wendy J Smith ◽  
Elizabeth Upton ◽  
Elizabeth J Shuster ◽  
Arnold J Klein ◽  
Martin L Schwartz

2013 ◽  
Vol 24 (6) ◽  
pp. 765-771 ◽  
Author(s):  
Christian Scheurig-Muenkler ◽  
Clemens Koesters ◽  
Maciej J. Powerski ◽  
Christian Grieser ◽  
Vera Froeling ◽  
...  

2020 ◽  
pp. 362-372
Author(s):  
A.K. BARATOV ◽  
◽  
F.R. RAKHIMOV ◽  
E.L. KALMYKOV ◽  
◽  
...  

Objective: To assess of the quality of life before and after uterine artery embolization (UAE) for uterine leiomyoma. Methods: A survey of 15 women aged 23 to 47 years was conducted using the UFS-QOL questionnaire. The number of fibroids varied from 1 to 6. Fibroids were mainly localized: submucosal (53.3%), intramural (20%), and subserosal (26.7%). Their volume varied in the range of 25.04-294.09 ml. The dominant syndrome in 7 cases was hemorrhagic, in 7 – compression, and in 1 case – their combination. All women underwent UAE. The survey was conducted four times: before, 3, 6 and 12 months after UAE. Results: According to symptom severity subscale of the UFS-QOL questionnaire (8 questions), there was a significant improvement in symptoms 12 months after UAE in comparison with the baseline: a decrease of mean score from 43.3 to 14.0 (p<0.001). Analysis of the health related quality of life (HRQL) subscale (29 questions) also showed a significant improvement in the quality of life after 12 months compared to the initial level: an increase of mean score from 54.3 to 82.8 (p<0.001). The most significant dynamics (p<0.001) was noted for such domains «Concern», «Activities», «Energy/mood», and «Control» (p<0.001). The mean scores for the above domains increased from the baseline values 53.3±16.0; 56.4±18.4; 42.9±18.0 and 53.7±20.1 to 86.0±11.2; 86.9±11.6; 75.2±10.0 and 81.3±11.2 points after 12 months, respectively. For 2 other subsections of the HRQL «Self-consciousness» and «Sexual function», the mean score changes slightly differed: 67.2±32.2 and 71.7±32.9 (initially) and 85.0±12.3 and 86.7±22.4 (after 12 months) (p<0.05 and p<0.01, respectively). The total HRQL mean score also significantly (p<0.001) increased by month 12 from the baseline of 54.3±14.7 to 82.8±7.4. Conclusions: The UFS-QOL questionnaire is a very informative tool for assessing both the severity of the symptoms of uterine fibroids and the quality of life of women who underwent uterine artery embolization. According to the results of the UFS-QOL, a significant dynamics was obtained with respect to both the regression of symptoms of uterine fibroids, and the improvement of all parameters of the quality of life. Keywords: Uterine leiomyoma, uterine artery embolization, quality of life, UFS-QOL questionnaire.


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