Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas

Objective. To investigate the indication and limitations of uterine artery embolization (UAE), we retrospectively analyzed the case of patients with uterine leiomyomas who had undergone UAE. Methods. During the past 7 years, 25 patients with uterine leiomyomas had undergone UAE in our hospital. UAE...

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Main Authors: Hidenori Sasa, Tatsumi Kaji, Kenichi Furuya
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2012/920831
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author Hidenori Sasa
Tatsumi Kaji
Kenichi Furuya
author_facet Hidenori Sasa
Tatsumi Kaji
Kenichi Furuya
author_sort Hidenori Sasa
collection DOAJ
description Objective. To investigate the indication and limitations of uterine artery embolization (UAE), we retrospectively analyzed the case of patients with uterine leiomyomas who had undergone UAE. Methods. During the past 7 years, 25 patients with uterine leiomyomas had undergone UAE in our hospital. UAE was indicated in patients with menstrual disturbances such as hypermenorrhea or dysmenorrhea. The outcomes of this procedure for uterine leiomyomas were analyzed. Results. Improvement in the menstrual symptoms and/or reduction in the leiomyoma size after UAE were observed in 24 patients (96.0%). There was mean 67.9% reduction in the volume of leiomyomas at six months after UAE (𝑃<0.05). However, the symptoms recurred after UAE in 6 patients (24.0%), with multiple or intramural leiomyomas larger than 7 cm, which necessitated additional procedures. Conclusion. The indications and limitations of the UAE should be considered because of its noneffectiveness and/or recurrence in over 20% of patients with uterine leiomyomas.
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spelling doaj-art-a23c5ff9c03744e3b240a54cafaab67a2025-08-20T02:20:55ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/920831920831Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine LeiomyomasHidenori Sasa0Tatsumi Kaji1Kenichi Furuya2Department of Obstetrics and Gynecology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, JapanDepartment of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, JapanDepartment of Obstetrics and Gynecology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, JapanObjective. To investigate the indication and limitations of uterine artery embolization (UAE), we retrospectively analyzed the case of patients with uterine leiomyomas who had undergone UAE. Methods. During the past 7 years, 25 patients with uterine leiomyomas had undergone UAE in our hospital. UAE was indicated in patients with menstrual disturbances such as hypermenorrhea or dysmenorrhea. The outcomes of this procedure for uterine leiomyomas were analyzed. Results. Improvement in the menstrual symptoms and/or reduction in the leiomyoma size after UAE were observed in 24 patients (96.0%). There was mean 67.9% reduction in the volume of leiomyomas at six months after UAE (𝑃<0.05). However, the symptoms recurred after UAE in 6 patients (24.0%), with multiple or intramural leiomyomas larger than 7 cm, which necessitated additional procedures. Conclusion. The indications and limitations of the UAE should be considered because of its noneffectiveness and/or recurrence in over 20% of patients with uterine leiomyomas.http://dx.doi.org/10.1155/2012/920831
spellingShingle Hidenori Sasa
Tatsumi Kaji
Kenichi Furuya
Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
Obstetrics and Gynecology International
title Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_full Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_fullStr Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_full_unstemmed Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_short Indications and Outcomes of Uterine Artery Embolization in Patients with Uterine Leiomyomas
title_sort indications and outcomes of uterine artery embolization in patients with uterine leiomyomas
url http://dx.doi.org/10.1155/2012/920831
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AT kenichifuruya indicationsandoutcomesofuterinearteryembolizationinpatientswithuterineleiomyomas