Organerhaltene Therapiemöglichkeiten beim Uterus myomatosus

Zusammenfassung

Der Wunsch von Patientinnen nach Organerhalt bzw. konservativen Therapiemöglichkeiten fordert Alternativen zur Hysterektomie in der Behandlung des symptomatischen Uterus myomatosus. Myomenukleation, Myomembolisation, symptomatische Therapien u. a. können solche Therapieoptionen sein. Für jede Patientin, auch bei abgeschlossener Familienplanung, sollte ein individuelles Behandlungskonzept entwickelt werden, dass sowohl die Vorstellungen der Patientin als auch die Erfolgsaussichten und Risiken der Behandlungsmethoden des Uterus myomatosus abwägt und zu einer sinnvollen Therapie führt.

Abstract

Total hysterectomy is considered as gold standard in the treatment of symptomatic uterine fibroids in women without reproductive wishes. However an increasing number of patients asked for alternatives to hysterectomy. Myomectomy, endometrial ablation, hormonal treatment, uterine artery embolization, and supracervical hysterectomy may be useful in the treatment uterine fibroids in an individual patient.

Schlüsselwörter

Myomenukleation - Myomembolisation - suprazervikale Hysterektomie - Endometriumsablation

Key words

Uterine artery embolization - supracervical hysterectomy - myomectomy - endometrial ablation

Literatur

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