Document Detail

Treatment of uterine fibroids for abnormal uterine bleeding: myomectomy and uterine artery embolization.
MedLine Citation:
PMID:  17478123     Owner:  NLM     Status:  MEDLINE    
Uterine myoma is a common benign tumour in women and most cases do not require treatment. Excessive uterine bleeding is usually due to a submucous myoma or an intramural myoma that is encroaching into the uterine cavity. After eliminating endometrial malignancy, perimenopausal women could be managed expectantly or with gonadotrophin-releasing hormone agonist until menopause. Hysteroscopic myomectomy is highly effective in controlling menorrhagia that is related to submucous myoma. Concomitant endometrial ablation improves menorrhagia; however, the subsequent hysterectomy rate remains the same. For those with an intramural myoma, abdominal myomectomy results in good bleeding control. It could also be done by laparoscopic approach; however, the surgeon should have expertise in laparoscopic suturing and the uterine incision should be properly sutured. In women who have completed their family, hysterectomy remains the most effective treatment for excessive uterine bleeding. Compared with uterine artery embolization (UAE), it is associated with better improvement in pelvic pain. Nevertheless, UAE is a good alternative to hysterectomy.
Sharifa Al-Mahrizi; Togas Tulandi
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-05-02
Journal Detail:
Title:  Best practice & research. Clinical obstetrics & gynaecology     Volume:  21     ISSN:  1521-6934     ISO Abbreviation:  Best Pract Res Clin Obstet Gynaecol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121582     Medline TA:  Best Pract Res Clin Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  995-1005     Citation Subset:  IM    
Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.
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MeSH Terms
Embolization, Therapeutic / methods*
Hysteroscopy / methods
Leiomyoma / complications,  therapy*,  ultrasonography
Treatment Outcome
Uterine Hemorrhage / etiology,  therapy*
Uterine Neoplasms / complications,  therapy*,  ultrasonography
Uterus / blood supply*

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