Uterine Artery Embolization: A Safe and Effective, Minimally Invasive, Uterine-Sparing Treatment Option for Symptomatic Fibroids

Background: Uterine fibroids (leiomyomas) are the most common benign neoplasm of the female pelvis. The location of fibroids, whether submucosal, subserosal, pedunculated subserosal, intramural, or endocavitary, is important because signs and symptoms may be determined by location. Uterine artery embolization (UAE) for many patients is an effective alternative treatment to surgical therapy for fibroid tumors. It is a minimally invasive procedure, which allows for rapid recovery and return to normal activities. Objective of this study was to know the efficacy of minimally invasive technique UAE for reducing symptoms in sub-mucous uterine leiomyoma in unmarried females.Methods: This retrospective analysis was performed on 9 unmarried females with symptomatic single submucosal fibroid diagnosed on MRI with size range of 3.5 cms to 6.5 cms. They presented at Dayanand Medical College and Hospital, Ludhiana, Punjab in a period of 3 years from January 2016-December 2019. Inclusion criteria were unmarried females, single submucosal fibroid diagnosed on USG/MRI. Exclusion criteria was active infection, more than one fibroid in uterus, prior GnRH analogues treatment during the previous 3 months.Results: All patients presented with heavy menstrual bleeding (HMB) and dysmenorrhea, lower abdomen pain was encountered in 3 patients and 2 patients had inter-menstrual bleeding. Recurrent, UTI was there in 1 patient and 1 patient had vaginal discharge. All fibroids belonged to stage 1 FIGO classification. UAE was done and patients were followed for 6 months. Symptomatic success was seen in 100% patients and 77.77% patients expelled the fibroid per vaginally.Conclusions: UAE is alternative method of treatment for submucosal fibroids in unmarried females who do not want to undergo surgery. Proper case selection can give us good results and symptomatic relief.

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Selective Uterine Artery Embolization: An Effective Treatment Option for Postpartum Hemorrhage due to Pseudoaneurysm of Uterine Artery

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1514 ◽

2017 ◽

Vol 9 (3) ◽

pp. 283-286

Author(s):

Radhika Gollapudi ◽

S Rammurty

Keyword(s):

Effective Treatment ◽

Treatment Option ◽

Postpartum Hemorrhage ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

Angiographic Embolization ◽

Artery Embolization ◽

Effective Treatment Option ◽

Reliable Technique ◽

Fertility Sparing

ABSTRACT Aim To demonstrate the efficacy of uterine artery embolization in the management of postpartum hemorrhage (PPH) due to pseudoaneurysm of the uterine artery. Background Postpartum hemorrhage is a leading cause of maternal mortality in India. Secondary PPH is a rare cause but potentially life threatening. Common causes of secondary PPH are retained products of conception, subinvolution of uterus, and endometritis. Pseudoaneurysm is an uncommon cause of secondary PPH following operative delivery. Color Doppler ultrasound is a useful diagnostic tool and angiography is necessary to localize and treat by embolization. Case report We report two cases of secondary PPH due to pseudoaneurysm of uterine artery, which were managed by selective embolization of uterine artery. Conclusion Angiographic embolization of uterine artery is a safe and reliable technique for management of secondary PPH due to pseudoaneurysm. If diagnosed early, the need for hysterectomy is prevented. Clinical significance Uterine artery embolization has emerged as a simple, effective, and fertility-sparing treatment for PPH. How to cite this article Gollapudi R, Rammurty S. Selective Uterine Artery Embolization: An Effective Treatment Option for Postpartum Hemorrhage due to Pseudoaneurysm of Uterine Artery. J South Asian Feder Obst Gynae 2017;9(3):283-286.

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Uterine Artery Embolization is Advanced, Minimally Invasive Treatment for Fibroids with Intervention Procedure: A Case Report

MVP Journal of Medical Sciences ◽

10.18311/mvpjms/2014/v1/i1/836 ◽

2014 ◽

Vol 1 (1) ◽

pp. 47

Author(s):

Chandrashekhar M. Gattani ◽

Tejas P. Sadavarte ◽

Shripad S. Kamble

Keyword(s):

Minimally Invasive ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

Posterior Wall ◽

Contrast Study ◽

Lower Abdomen ◽

Artery Embolization ◽

Invasive Treatment ◽

Intervention Procedure

<p>Uterine Artery Embolization (UAE) has become most effective and minimally invasive alternative treatment over the past many years, especially for women with symptomatic fibroids for whom conservation of uterus is important. Here we are reporting a case of an eighteen year old, unmarried female who presented with pain in lower abdomen and pelvis, menorrhagia and she also noticed gradually increasing lump in pelvis and lower abdomen.</p><p>After clinical examination, patient was referred for radiological investigations, initially ultrasonography was performed which revealed, a large sized posterior wall uterine fibroid measuring approx. 19 x 10 x 18 cm and it was further confirmed on MRI with contrast study. UAE was carried out in order to relieve the symptoms, reduce the size of fibroid and at the same time preserve the uterus. The procedure was uneventful after follow-up for 3 months, there was partial regression in the size of fibroid.</p>

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Interventional Treatment of Endometriosis

10.5772/intechopen.93054 ◽

2020 ◽

Author(s):

Yang Xiaomin ◽

Han Jun ◽

Feng Pin ◽

Yang Xiaojun

Keyword(s):

Minimally Invasive ◽

High Intensity ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

Focused Ultrasound ◽

High Intensity Focused Ultrasound ◽

Ultrasound Treatment ◽

Interventional Treatment ◽

Artery Embolization ◽

Plexus Block

Patients with endometriosis and adenomyosis naturally improve after menopause. Therefore, some patients only need to relieve symptoms, especially those near menopause, and they prefer to be treated by conservative methods. We summarized several minimally invasive interventional methods: uterine artery intervention (Uterine artery embolization, UAE), nerve intervention (upper and lower abdominal plexus block, SHPB), ultrasound intervention (puncture sclerotherapy; high intensity focused ultrasound treatment).

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Cervical ectopic pregnancy

Obstetrics Gynecology and Reproductive Sciences ◽

10.31579/2578-8965/075 ◽

2021 ◽

Vol 5 (06) ◽

pp. 01-03

Author(s):

Olivia Dziadek ◽

Asha Bhalwal ◽

Ramesha Papanna ◽

Kenneth Moise ◽

John Hardy ◽

...

Keyword(s):

Minimally Invasive ◽

Ectopic Pregnancy ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

Minimally Invasive Approach ◽

Artery Embolization ◽

Invasive Approach ◽

Dilation And Curettage ◽

Future Fertility ◽

Cervical Ectopic Pregnancy

We performed dilation and curettage and cervical balloon placement in a cervical ectopic pregnancy after treatment with Methotrexate, KCI and bilateral uterine artery embolization. A minimally invasive approach was used in the case as the patient desired future fertility. We present the potential challenges in management of cervical ectopic pregnancy as well as approaches to treatment.

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