Mid-term Clinical Results and Patient Satisfaction After Uterine Artery Embolization in Women with Symptomatic Uterine Fibroids |
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Authors: | Albert J Smeets Paul N M Lohle Harry A M Vervest P Focco Boekkooi Leo EH Lampmann |
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Institution: | (1) Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, The Netherlands;(2) Department of Gynaecology, St. Elisabeth Ziekenhuis, Tilburg, The Netherlands |
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Abstract: | Purpose To evaluate the mid-term clinical results and patient satisfaction following uterine artery embolization (UAE) in women with
symptomatic fibroids.
Methods Between August 1998 and December 2002, 135 patients had UAE for symptomatic uterine fibroids. All patients were asked to fill
in a questionnaire. Questions were aimed at changes in bleeding, pain, and bulk-related symptoms. Symptoms after UAE were
scored as disappeared, improved, unchanged or worsened. Adverse events were noted, such as vaginal dryness and discharge,
menopausal complaints or fibroid expulsion. Patient satisfaction after UAE was assessed. Patient satisfaction of women embolized
with polyvinyl alcohol (PVA) particles was compared with satisfaction of women embolized with calibrated microspheres.
Results The questionnaire was returned by 110 of 135 women (81%) at a median time interval of 14 months following UAE. In 10 women
additional embolization or hysterectomy had been performed. Of the 110 responders, 86 (78%) were satisfied with the result
of UAE. The proportion of satisfied women was higher in the group embolized with calibrated microspheres than in women embolized
with PVA, although this difference was not statistically significant (p = 0.053).
Conclusion UAE in women with symptomatic uterine fibroids leads to improvement of symptoms and patient satisfaction is good in the vast
majority after a median follow-up period of 14 months. |
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Keywords: | Fibroids Outcome Uterine artery embolization |
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