Transvaginal Bilateral Uterine Artery Occlusion for Treatment of Symptomatic Uterine Myomas: An Effective Modality in Low Resource Settings

Authors

  • Adel Saad Helal Mansoura
  • Hossam M. Gouda Mansoura
  • Mohamed El-Said Ghanem Mansoura
  • Adel M.G. El-Badrawy Mansoura University

Keywords:

Uterine myoma, Uterine artery occlusion, Vaginal approach.

Abstract

Objective: To study the effectiveness and safety of bilateral uterine artery occlusion through the vaginal approach as an alternative treatment modality for symptomatic uterine myomas.

Methods: Sixty-nine premenopausal women with symptomatic uterine leiomyomata were studied. None of them desired further pregnancy underwent bilateral vaginal uterine arteries occlusion. The primary outcome measures were patient satisfaction as regards menstrual blood loss compared with pre treatment loss and operative duration. Secondary outcome measures included postoperative pain, complications, secondary interventions, and failures.

Results: Sixty-three women were completed follow up till 24 months after the procedure. The primary outcomes were encouraging as regards patient satisfaction for post treatment blood loss (90.7 %) and mean operative duration ( 35 ±9.5 minutes). After 6 months of follow-up, 6 patients resumed heavy periods and interventions needs secondary.

Conclusion: Trans-vaginal occlusion of uterine arteries improved clinical symptoms in the majority of patients.

Author Biographies

Adel Saad Helal, Mansoura

Obstetrics & Gynecology

Hossam M. Gouda, Mansoura

Obstetrics & Gynecology

Mohamed El-Said Ghanem, Mansoura

Obstetrics & Gynecology

Adel M.G. El-Badrawy, Mansoura University

Radiology, Faculity of Medicine

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Published

2014-08-29

Issue

Vol. 1 No. 1 (2014)

Section

Articles

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