P30.06: The importance of ultrasonography in the management of uterine fibroids

To review the currently available literature regarding the role of ultrasonography in the management of uterine fibroids. Literature review of articles concerning the conservative treatment of uterine fibroids. Ultrasound examination allows for a better preoperative evaluation of fibroids. Table 1 gives an overview of the features suggested to be important for different therapeutical options. Sonographic follow-up after UAE, ultrasound guided HIFU and/or magnetic resonance guided HIFU is used to assess the decrease in size/volume of the treated fibroids, and to document the absence or reduction of blood supply in fibroids. P30.06: Table 1. Management of uterine fibroids, criteria from the literature subserosal, intramural, intraligamentary - anterior wall of the uterus - close to the fundus Lp-scopic myomectomy intramural subserosal Lp-tomic myomectomy intramural subserosal Hscopic myomectomy type G1 type G2 ≤5-6 (G1) ≤4-5 (G2) type G0 type G1 intramural subserosal Contraindications: - submucosal and/or pedunculated - >10-12 cm - coexistent adenomyosis ? intramural subserosal - anterior - Contraindications: bowel interposition, abdominal scars, excessive thickness abdominal wall Ultrasound plays an important role in the management of uterine fibroids both before and during treatment and in post-treatment follow-up.