Geburtshilfe Frauenheilkd 2016; 76 - P226
DOI: 10.1055/s-0036-1593073

Effects of uterine artery embolization on life quality in premenopausal women

S Gyroglou 1, A Liberis 1, B Manav 1, P Naoumis 1, C Bouschanetsis 1, G Galazios 1, P Tsikouras 1
  • 1Democritus University of Thrace, Department of Obstetrics and Gynecology, Alexandroupolis, Griechenland

Purpose: To evaluate the quality of life after uterine artery embolization (UAE) treatment for uterine fibroids (UF) of premenopausal women.

Patients and methods: In this retrospective study enrolled 96 participants, aged 32 – 49 years, who underwent UAE for symptomatic UF. UAE consisted of unilateral femoral artery puncture, bilateral selective catheterization of uterine arteries using 4-F Cobra 1 or Simmons 1 catheters, super selective catheterizations with microcatheters 2,7-F (bypassing vaginal and cervical arteries or even ovarians) and use of precise calibrated polyzene coated microspheres 700 µm in diameter as embolic material. Patients answered a women's health questionnaire regarding menopausal symptoms and was evaluated before and after UAE at the 1st, 3rd, 6th and 12th month, aside with imaging (MRI) evaluation.

Results: Bilateral UAE was successfully performed in all cases. All participants responded the Questionaire on the 1st, 3rd, 6th, 9th, 12th post interventional month. Most common symptoms like headache, vertigo and bleeding in either mild or moderate form were reduced at the 2nd and disappeared completely at the 3rd visit after 3 and 6 months respectively. All the answers reported improvement of quality of life 3,6 months post interventional. Complete elimination of clinical symptoms like irregular vaginal bleeding and abdominal pain occurred after 6 months.

Conclusion: According to our results, 6 months after UAE the patients have improvement of general quality of life depending on sastifactory elimination of clinical problems.