Permanent Occlusion of Uterine Arteries in Management of Abnormal Uterine Bleeding

Authors

  • Adel S. Helal Department of Obstetrics and Gynecology, Mansoura University
  • Mohammad E. Ghanem Department of Obstetrics and Gynecology, Mansoura University
  • Laila A. Elboghdady Department of Obstetrics and Gynecology, Mansoura University

Keywords:

Abnormal uterine bleeding, Management, Uterine artery, Permanent occlusion, Non absorpable

Abstract

Objectives: To assess the effectiveness of permanent bilateral occlusion of uterine arteries as a treatment modality of abnormal uterine bleeding.

Design: prospective single arm study.

Setting: Done in Mansoura university hospital, department of Obstetrics and gynecology and private center (Mansoura Integrated Fertility Center- MIFC) Mansoura- Egypt from October 2011to October 2015 including the study and follow up period.

Patients: The study includes One hundred eighteen (118) premenopausal patients followed up for thirty six months. All of them completed their families and needing to preserve their uteri. 68.6 % of them experienced failed medical treatment.

Intervention: permanent bilateral uterine arteries occlusion in management of abnormal uterine bleeding.

Measurements: The primary outcome measures were patient satisfaction, Quality of life and improvements of pain and bleeding compared with pretreatment one. Secondary outcome measures included postoperative pain, complications, secondary interventions, and failures.

Results: One hundred and nine patients completed follow up for three years 109/118 (92.4%) reported their satisfaction as indicated by reduction in days of menstrual flow per cycle (3.7 ± 2.8 vs. 8.8 ± 6.2 days, p < 0.0001) also, significant improvement in quality of life scores (9 ± 1.2 vs. 2.6 ± 1.8 p < 0.0001). with a variable failure rate varies from 5.6% at 6 months to 3.9% at 36 months follow up.

Conclusion: permanent bilateral uterine arteries occlusion may be a good alternative to radical surgery in management of abnormal uterine bleeding.

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Published

2016-08-12

Issue

Vol. 3 No. 2 (2016)

Section

Articles

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