Document Detail


Vaginal expulsion of submucosal fibroids after uterine artery embolization. A report of three cases.
MedLine Citation:
PMID:  10319310     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Since October 1996, at our fibroid center, we have been using the uterine artery embolization (UAE) procedure as a nonsurgical means to treat patients with fibroids and menorrhagia. We have performed this procedure on over 180 patients, 3 of whom experienced vaginal expulsion of submucosal fibroids from two to seven months later. CASES: A 37-year-old woman underwent UAE in November 1997 and expelled five submucosal fibroids two to three months later. A 43-year-old woman underwent UAE in August 1997 and expelled a submucosal fibroid four months later. A 46-year-old woman underwent UAE in April 1997 and expelled a submucosal fibroid seven months later. CONCLUSION: The use of UAE to treat patients with fibroids and menorrhagia is relatively new. Our experience has revealed that a significant percentage of patients who have had the embolization procedure will have reduction in menorrhagia and also in the volume of their fibroids. Complications and side effects have been few. Vaginal expulsion of submucosal fibroids can be viewed as a side effect of the procedure, and, to the best of our knowledge, these are the first reported cases of this postembolization occurrence.
Authors:
R P Berkowitz; F L Hutchins; R L Worthington-Kirsch
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  44     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1999 Apr 
Date Detail:
Created Date:  1999-06-29     Completed Date:  1999-06-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  373-6     Citation Subset:  IM    
Affiliation:
Philadelphia Fibroid Center, Pennsylvania 19004, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Antineoplastic Agents, Hormonal / therapeutic use
Combined Modality Therapy
Embolization, Therapeutic*
Female
Humans
Leiomyoma / complications,  diagnosis,  therapy*
Leuprolide / therapeutic use
Menorrhagia / etiology
Middle Aged
Treatment Outcome
Uterine Neoplasms / complications,  diagnosis,  therapy*
Chemical
Reg. No./Substance:
0/Antineoplastic Agents, Hormonal; 53714-56-0/Leuprolide

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


Previous Document:  Status epilepticus during pregnancy. A case report.
Next Document:  Severe nonimmune hydrops fetalis and congenital corneal opacification secondary to human parvovirus ...