Abstract
BackgroundUterine fibroids are the most common benign tumor of the reproductive tract in women. Uterine artery embolization has been approved as an alternative treatment option for uterine fibroids to reduce uterine and fibroid volumes as well as to relieve the patient symptoms. The current study included 80 patients with symptomatic uterine fibroids. All patients underwent pre-embolization MRI, uterine artery embolization, and follow-up post-embolization MRI at 6 months post procedure for a reduction in uterine and dominant fibroid volumes. The aim of the study was to assess the role of transcatheter uterine artery embolization in reducing the uterine fibroid volume.ResultsThere was a significant difference in the uterine volume reduction between a group with single fibroids and a group with multiple uterine fibroids The mean uterine volume reduction in the first group was 46.5% compared to 37.4% reduction in the second group. While there was no significant difference in the dominant fibroid volume reduction between both groups (48.8% and 44.9% respectively).ConclusionsUAE has a high efficacy in the reduction of both the uterine volume and the dominant fibroid volume, which results in improvement in patient’s quality of life.
Highlights
Uterine fibroids are the most common benign tumor of the reproductive tract in women
Fibroids may vary in size from a few millimeters to large sizes and can be classified into single or multiple uterine fibroids [2]
Uterine artery embolization (UAE) is an interventional radiological (IR) technique to occlude the arterial supply to the uterus for various reasons [3]
Summary
Uterine fibroids are the most common benign tumor of the reproductive tract in women. Uterine artery embolization has been approved as an alternative treatment option for uterine fibroids to reduce uterine and fibroid volumes as well as to relieve the patient symptoms. All patients underwent pre-embolization MRI, uterine artery embolization, and followup post-embolization MRI at 6 months post procedure for a reduction in uterine and dominant fibroid volumes. The aim of the study was to assess the role of transcatheter uterine artery embolization in reducing the uterine fibroid volume. Uterine fibroids (UF) are the commonest benign tumor in women of reproductive age [1]. UAE has proved to be an effective treatment for symptomatic fibroids and it is considered as an alternative to myomectomy and hysterectomy [5, 6]. Standard imaging protocols for UAE are the pre-procedural assessment by magnetic resonance imaging (MRI) followed by a post-procedural MRI 3–6 months later [7, 8]
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