| Treatment of uterine fibroids for abnormal uterine bleeding: myomectomy and uterine artery embolization. | |
| | |
MedLine Citation:
|
PMID: 17478123 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Sharifa Al-Mahrizi; Togas Tulandi |
Related Documents
:
|
1355763 - Incidence of congenital uterine anomalies in repeated reproductive wastage and prognosi... 11870133 - Doppler ultrasound examination of uterine arteries on the day of oocyte retrieval in pa... 9769353 - Pregnancy in women with spinal cord injuries. |
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 |
Affiliation:
|
Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Embolization, Therapeutic
/
methods* Female Humans Hysteroscopy / methods Leiomyoma / complications, therapy*, ultrasonography Treatment Outcome Uterine Hemorrhage / etiology, therapy* Uterine Neoplasms / complications, therapy*, ultrasonography Uterus / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Patients' and relatives' thoughts and actions during and after symptom presentation for an acute myo...
Next Document: Diagnosis of right atrial mass by perioperative transesophageal echocardiography.