Uterine Artery Embolization for Single Fibroid

Abstract

Objective: Efficacy of uterine Artery Embolization for Single Fibroid

Study Design: Descriptive cross sectional study

Place and Duration of Study: This study was conducted at the Mayo Hospital, Lahore and Services Hospital, Lahore from May, 2019 to November, 2020.

Materials and Methods: A total of 37 patients with single fibroid of less than 10cm in size underwent UAE by Sildenger` s Technique. Both uterine fibroids were thrombosed with embosphere 500 micron and were followed for six months.

Results: In 4 patients procedure could not be completed. In one of these patients procedure was abandoned due to extreme anxiety and non-cooperation while 3 had arterial spasm resulting in cancellation of procedure. In 25 patients there was complete necrosis of fibroid and 3 out of these 25 patients conceived during follow up period. In 6 patients procedure resulted in partial necrosis of fibroid and in 2 patients there was complete failure of procedure.  These 8 patients had to undergo myomectomy.

Conclusion: UAE is minimal invasive uterus sparing procedure for management of uterine fibroid with short hospital stay.