scholarly journals Adenomyosis: Difficult to Diagnose, and Difficult to Treat

2001 ◽  
Vol 7 (2) ◽  
pp. 89-95 ◽  
Author(s):  
C. Wood
Keyword(s):  
Drug Therapy ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Conservative Surgery ◽  
New Technique ◽  
Artery Embolization ◽  
A New Technique

Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Danazol IUD has been shown to reduce symptoms. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in more than 50% of patients, although follow up has been restricted to three years. Arterial uterine artery embolization is a new technique which may be tried before considering hysterectomy. Hysterectomy may still be necessary in severe cases of adenomyosis.

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

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>

scholarly journals P13.04: Long term follow up of ovarian volume after uterine artery embolization

2005 ◽  
Vol 26 (4) ◽  
pp. 459-459
Author(s):  
E. Jolly ◽  
K. Fung Kee Fung ◽  
P. Rasuli ◽  
S. Goulet ◽  
S. Lago ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Ovarian Volume ◽  
Long Term Follow Up

Limited Uterine Artery Embolization for Leiomyomas with Tris-Acryl Gelatin Microspheres: 1-Year Follow-up

2006 ◽  
Vol 17 (2) ◽  
pp. 283-287 ◽  
Author(s):  
Paul N.M. Lohle ◽  
Focco P. Boekkooi ◽  
Albert J. Smeets ◽  
Jacqueline J.P.M. Pieters ◽  
Harry A.M. Vervest ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Gelatin Microspheres

Uterine artery embolization for symptomatic fibroids with imaging follow up

2007 ◽  
Vol 51 (3) ◽  
pp. 246-252 ◽  
Author(s):  
TP Jain ◽  
DN Srivastava ◽  
RP Sahu ◽  
S Thulkar ◽  
S Sharma ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization

Uterine Artery Embolization and Methotrexate Infusion as Sole Management for Caesarean Scar and Cervical Ectopic Pregnancies: A Single-Center Experience and Literature Review

2019 ◽  
Vol 70 (3) ◽  
pp. 307-316 ◽  
Author(s):  
Ali H. Elmokadem ◽  
Rihame M. Abdel-Wahab ◽  
Ahmed A. El-Zayadi ◽  
Mohamed M. Elrakhawy
Keyword(s):  
Literature Review ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Clinical Results ◽  
Artery Embolization ◽  
Caesarean Scar ◽  
Single Center Experience ◽  
Ectopic Pregnancies ◽  
Age Range

Introduction The incidence of caesarean scar pregnancy (CSP) and cervical pregnancy (CP) has increased significantly in recent years. The related hemorrhage can be lethal and often needs hysterectomy. This study aims to assess the technical and clinical results of uterine artery embolization (UAE) combined with intra-arterial methotrexate (MTX) infusion for CSP and CP. Methods A retrospective study was conducted for 11 patients (age range from 25–40 years, mean; 31.8 y) with CSP (7/11) and CP (4/11). The diagnosis was confirmed by elevated b-hCG levels (mean 31.245 mIU/mL) with sonography and/or magnetic resonance imaging. They were treated with UAE using particulate embolic material. In all patients, the infusion of MTX (50 mg/m2) was performed before UAE. Follow-up periods after UAE ranged between 6-24 months included weekly sonography and b-hCG level assessment. A literature review was performed using standard online search tools. Results In 10 patients, UAE controlled active vaginal bleeding and reduced post-procedural b-hCG levels significantly by the second week. One patient presented with persistent elevated b-hCG level and vaginal rebleeding. The rebleeding was successfully controlled by second UAE procedure. The ectopic pregnancies were resolved, and the uterus was preserved in all patients. No major complications were detected. Normal menses resumed within 2 months after UAE. Two patients had subsequent natural successful intrauterine pregnancies. Conclusion UAE combined with intra-arterial MTX infusion resulted in resolution of ectopic pregnancies with control of hemorrhage and without hysterectomy in this small group of patients.

Long-Term Follow-up of Uterine Artery Embolization for Symptomatic Adenomyosis

2011 ◽  
Vol 35 (4) ◽  
pp. 815-819 ◽  
Author(s):  
A. J. Smeets ◽  
R. J. Nijenhuis ◽  
P. F. Boekkooi ◽  
H. A. M. Vervest ◽  
W. J. van Rooij ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Long Term Follow Up
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