Comparative analysis of the clinical efficiency of conservative myomectomy and uterine artery embolization as methods of treatment of uterine leiomyoma

Abstract

The research included 92 patients of reproductive age with uterine leiomyoma, who underwent conservative myomectomy and uterine artery embolization. Among the clinical manifestations of uterine leiomyoma the most frequent were pain, menometrorrhagia and infertility. It was found that uterine artery embolization has an advantage over the conservative myomectomy due to significantly shorter duration of operation and hospital stay, absence of need for anesthesia care, and absence of intraoperative complications. Authentic positive clinical results were obtained 5 months after both interventions. However, after conservative myomectomy more rapid regression of such clinical manifestations as pain syndrome and menorrhagia was observed.