J Korean Radiol Soc.  1999 Sep;41(3):481-485. 10.3348/jkrs.1999.41.3.481.

Uterine Arterial Embolization for Uterine Leiomyoma: Efficacy and Clinical Outcome

• Park JS
• Lee DY
• Kim YT
• Park KH
• park YW
• Cho JS
• Won JH
• Kang BC
• Kim MJ

• KMID: 2200817
• DOI: http://doi.org/10.3348/jkrs.1999.41.3.481

Abstract

PURPOSE: To determine the efficacy and clinical outcome of uterine arterial embolization as a new approach to the management of uterine leiomyomas MATERIALS AND METHODS: Uterine arterial embolization was performed in 21 patients aged 26-62(mean, 42) years. Twenty of these had menorrhagia, dysmenorrhea, and mass-related symptoms (low abdorminal discomfort, backache, urinary frequency, etc.) and one was diagnesed incidentally. Bilateral uterine arteries were selected individually and polyvinyl alcohol and/or gelfoam was used as an embolic material. RESULTS: Nineteen patients were followed up after embolization. Seventeen (89.5 %) reported satisfactory myoma volume. In 17 patients (89.5 %), the menstrual cycle returned to normal. All patients experienced pain after the procedure and other complications were vaginal bleeding (26.3%) and fever (23.8%). CONCLUSION: Uterine arterial embolization represents a new approach to the management of uterine leiomyoma-related symptoms. Further investigations and long-term follow-up are, however, equired.

Keyword

Uterine neoplasms, CT; Uterine neoplasms, therapy; Arteries, therapeutic blockade

MeSH Terms

Back Pain
Dysmenorrhea
Female
Fever
Follow-Up Studies
Gelatin Sponge, Absorbable
Humans
Leiomyoma*
Menorrhagia
Menstrual Cycle
Myoma
Polyvinyl Alcohol
Uterine Artery
Uterine Hemorrhage
Polyvinyl Alcohol