Stefan Zangos MD, Presenter: Nothing to Disclose

Katrin Eichler MD, Abstract Co-Author: Nothing to Disclose

Regine Gaetje, Abstract Co-Author: Nothing to Disclose

Thomas Lehnert MD, Abstract Co-Author: Nothing to Disclose

Renate Maria Hammerstingl MD, Abstract Co-Author: Nothing to Disclose

Thomas Josef Vogl MD, Abstract Co-Author: Nothing to Disclose

Martin Georg Mack MD, Abstract Co-Author: Nothing to Disclose

et al, Abstract Co-Author: Nothing to Disclose

et al, Abstract Co-Author: Nothing to Disclose

Evaluation of patient satisfaction and clinical outcome after uterus-preserving operative treatment or uterine artery embolization (UAE) in patients with symptomatic fibroids.

140 patients with symptomatic uterine fibroids (treated with fibroid enucleation (N=60) or uterine artery embolization (N=80)) were asked retrospective by questionnaire in terms of symptoms caused by the myoma. The changes of the symptoms after myomectomy and UAE were evaluated and compared.

Both myomectomy and embolization leads to a significant improvement of clinical symptoms (reduction of hypermenorrhoea 58 % vs. 77%, reduction of metrorrhagia 78% vs. 77%, reduction of dysmenorrhoea 39% vs. 56%, respectively). A trend to increased improvement of hypermenorrhoea and dysmenorrhoea was noticed after embolization compared to operation. Stationary phase was in the mean 2.3days after hysteroscopy, 4.4 days after laparoscopy, 7.3 days after abdominal section and 2 days after UAE. 85% of the with UAE treated patients would determinate again for a fibroid embolization.

Myomecotmy and uterine artery embolization facilitate a sufficient treatment of symptomatic uterine fibroids. Hereby UAE is an alternative therapeutic option to surgery.

Uterine artery embolization (UAE) is an alternative therapeutic option to surgery in the treatment of symptomatic uterine fibroids

Zangos, S, Eichler, K, Gaetje, R, Lehnert, T, Hammerstingl, R, Vogl, T, Mack, M, et al, , et al, , Comparison of the Patient Satisfaction and Clinical Outcome after Uterine Artery Embolization (UAE) or Operative Treatment.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5009431.html