Uterine arterial embolization in the treatment of adenomyosis

Objective To assess the clinical effect of selective uterine artery embolization(UAE)in the treatment of adenomyosis.Methods UAE procedures were performed in 35 patients with adenomyosis.5F cobra catheters were placed into bilateral uterine arteries respectively and the PVA, KMG or gelatin sponge particles,lipiodol were used to embolise the arteries.After treatment the symptoms and uterine volume of all patients were investigated.Results All cases were followed up regularly after the treatment.All clinical symptoms of 35 patients were relieved.The menorrhagia returned to normal.Dysmenorrhea completely disappeared in 21 patients and significantly alleviated in 10 patients,but reocurred in 4 cases.The size of uterus and tumors decreased significantly.Conclusion UAE is an effective and safe method in the treatment of adenomyosis.