The experience of using the method of uterine artery embolization in uterine fibroids
DOI:
https://doi.org/10.37800/RM.1.2024.81-87Keywords:
uterine fibroids, benign tumor, woman, treatment, uterine arteriesAbstract
Relevance: Uterine myoma is a hormone-dependent benign tumor of the myometrium that develops against the background of absolute or relative hyperestrogenism. It is the most common benign tumor of the female genital organs; every 4th-5th woman in the world suffers from uterine fibroids. Due to the increase in inflammatory diseases of the female genital organs, the “rejuvenation” of uterine fibroids has been observed in recent years.
The study aimed to share the experience of using the method of embolization of uterine arteries in the treatment of uterine fibroids.
Materials and methods: We applied uterine artery embolization to treat 68 patients with uterine fibroids at the Gynecology Department of the City Clinical Hospital №1 of Shymkent (Kazakhstan).
Results: After embolizing the uterine arteries, regression of myomatous nodes gradually decreased over 4-6 months. According to the description of pelvic ultrasound control performed 4-6 months after surgery, regression of the myomatous node was observed on average in 30.4% (1.28 cm) of women with multiple interstitial uterine fibroids; in the group of patients with an average dominant node and a sizeable interstitial node of myomatosis, a decrease in the size of the node by 34.6% (2.32 cm) was observed. In the first 4-6 months after uterine artery embolization, the uterus volume decreased by an average of 42.4%. The menstrual cycle was restored in 45% of women within the first 3 months and in 73% of women within 6 months.
Conclusion: The high clinical efficacy of uterine artery embolization is characterized by stopping uterine bleeding caused by uterine fibroids, reducing menorrhagia and metrorrhagia, relieving pain, reducing the average size of the tumor, and improving quality of life. At the same time, organ-preserving surgery, regression of all nodes (regardless of diameter and shape), provides minimal invasiveness, is performed under local anesthesia, the patient has a short recovery time, a short bed day in the hospital, and facilitates the problem of maintaining reproductive function.
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