Uterine Artery Embolization for Symptomatic Fibroids Uterus in Gaza

Abstract

Background: To evaluate interventional success, clinical success and reduction of fibroid diameter after uterine artery embolization (UAE) for patients with symptomatic fibroid uterus in Gaza. Methods: Retrospective study of thirty -two women with symptomatic uterine underwent uterine magnetic resonance imaging (MRI) before and 6 months after UAE. Primary outcome: clinical success is the improvement of the patients presenting symptoms, such as menorrhagia or pain without additional therapy. Secondary outcome: interventional success is a complete occlusion in both uterine arteries and reduction measures of fibroid diameter after 6 months after embolization. Results: Of 32 patients with mean age 44±7.6 years and follow-up between 6-70 months, 30 (93.7%) patients completed follow-up, 1 (3 %) patient had a second procedure and 2 (6 %) were lost to follow-up. Primary outcome: the improvement of symptoms, such as menorrhagia or bulk-related pain without additional therapy was seen in 29 (90%) patients. one patient underwent surgery hysterectomy on 14 months after UAE related complaints and failure of conservative treatment and 2 patients still received therapy to control symptoms. interventional success is a complete occlusion in both uterine arteries was seen in 31 (97%) patients. The mean dominant fibroid diameter reduced from 6.2 ± 2.4 cm to 1.7± 1.44 cm (p = 0.001). Conclusions: Uterine artery embolization significant improvements in fibroid uterus symptoms and long -term follow-ups with low complication rates and very good clinical efficacy