Treatment of uterine myomas with transvaginal uterine artery occlusion: possibilities and limitations

Journal of Minimally Invasive Gynecology
Kirsten HaldOlav Istre

Abstract

The objective of this pilot study was to evaluate the feasibility of a transvaginal clamp prototype used for temporary uterine artery occlusion as a treatment for myomas. In particular, we aimed to evaluate technical aspects of successful occlusion with angiography and magnetic resonance imaging (MRI) and to evaluate possible ureter occlusion with pyelography. Ten premenopausal women aged 34 to 37 years with menorrhagia and myomas were treated with a temporary uterine artery occlusion for 6 hours. Five patients did not complete the clamping procedure because of unsuccessful clamping. While the clamp was in position, angiographic examination of the uterine arteries and pyelography were performed in 8 of the patients. The clamps occluded both uterine arteries in 4 patients and 1 side in another 2. Two procedures occluded the ureter unilaterally. MRI with contrast was done before, the day after, and 3 months after the procedure. Three of 5 patients who completed the clamp treatment had reduced or no contrast enhancement at MRI afterward. Clinical effects were obtained in 3 patients. Difficulties with application of the vaginal clamp were related to initial learning and size of the myomas. Our initial experience shows that the trea...Continue Reading

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Citations

Apr 27, 2013·La Presse médicale·Lobna Ouldamer, Isabelle De Jesus
Nov 15, 2011·Journal de gynécologie, obstétrique et biologie de la reproduction·L Ouldamer, H Marret
Dec 30, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Errico ZupiFelice Petraglia
Aug 12, 2014·Fertility and Sterility·Amrita PatelWilliam H Catherino
Jun 12, 2013·Neurourology and Urodynamics·George Iancu, Stergios K Doumouchtsis
Jul 16, 2009·Current Opinion in Obstetrics & Gynecology
Sep 3, 2009·Current Opinion in Obstetrics & Gynecology

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