Document Detail


Uterine fibroid embolization: CME update for family physicians.
MedLine Citation:
PMID:  17872642     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review evidence supporting the use of uterine fibroid embolization (UFE) as an alternative to hysterectomy and myomectomy for managing uterine fibroids. QUALITY OF EVIDENCE: MEDLINE was searched using the MeSH terms embolization, therapeutic; leiomyoma; treatment outcome; pregnancy; and clinical trials. Most published studies on use of UFE for management of uterine fibroids provide level II evidence. MAIN MESSAGE: For 71% to 92% of patients, UFE is effective at alleviating fibroid-related symptoms. After UFE, fibroids are reduced in size by 42% to 83%. Patients' satisfaction with the procedure is high (>90%), and UFE is safe and has a low rate of major complications (1.25%). When compared with hysterectomy, UFE is associated with fewer major complications, shorter hospital stays, and faster recovery. Although successful pregnancy following UFE is possible, there is insufficient evidence to advocate use of UFE over myomectomy for management of uterine fibroids in women wishing to preserve fertility. CONCLUSION: For treatment of symptomatic uterine fibroids, UFE is a safe and effective nonsurgical alternative to hysterectomy and myomectomy.
Authors:
Antony Raikhlin; Mark Otto Baerlocher; Murray R Asch
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Canadian family physician Médecin de famille canadien     Volume:  53     ISSN:  1715-5258     ISO Abbreviation:  Can Fam Physician     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-09-17     Completed Date:  2007-10-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0120300     Medline TA:  Can Fam Physician     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  250-6     Citation Subset:  IM    
Affiliation:
Faculty of Medicine, University of Toronto, Ontario. antony.raikhlin@utoronto.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Canada
Education, Medical, Continuing
Embolization, Therapeutic / methods*
Family Practice / education
Female
Humans
Hysterectomy / methods
Leiomyoma / diagnosis,  therapy*
Prognosis
Risk Assessment
Treatment Outcome
Uterine Neoplasms / diagnosis,  therapy*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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