Uterine artery embolisation for symptomatic adenomyosis--mid-term results
Non-randomised trial
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⤵ 48 in-corpus citations
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This paper reports mid-term outcomes of uterine artery embolization for women experiencing symptoms of adenomyosis.
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Abstract
PURPOSE: To evaluate the role of uterine artery embolisation (UAE) in the treatment of adenomyosis.
MATERIALS AND METHODS: 27 women with symptomatic adenomyosis diagnosed on magnetic resonance imaging (MRI) underwent UAE between 1998 and 2004. Clinical evaluation using a standardised questionnaire was made at regular intervals after embolisation to assess patient outcome.
RESULTS: The diagnosis of adenomyosis was confirmed histologically by transvaginal biopsy in 5 women. There were 14 women with associated uterine fibroids. Diffuse adenomyosis was identified in 18 women. A focal adenomyoma was present in another 8 women. In 1 patient adenomyosis was not classified. All patients except one underwent bilateral uterine artery embolisation. There was an initial favourable clinical response, with improvement of menorrhagia in 79% (13/16) of patients at 12 months. Follow-up data was available on a total of 14 patients at 2 and 3 years after embolisation. 45.5% (5/11) reported a deterioration in menorrhagia symptoms at 2 years.
CONCLUSION: UAE for symptomatic adenomyosis is effective in the short-term but there is a high rate of recurrence of clinical symptoms 2 year following treatment.
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Cited by (49)
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- Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation 2024
- Adenomyosis and Abnormal Uterine Bleeding: Review of the Evidence 2024
- Risk of Recurrence and Reintervention After Uterine-Sparing Interventions for Symptomatic Adenomyosis 2023
- Treatment of adenomyosis, abdominal wall endometriosis and uterine leiomyoma with interventional radiology: A review of current evidences 2023
- An update on uterine artery embolization for uterine leiomyomata and adenomyosis of the uterus 2022
- Long-term durability of uterine artery embolisation for treatment of symptomatic adenomyosis 2021
- Use of dienogest in endometriosis: a narrative literature review and expert commentary 2020
- Asherman syndrome in adenomyosis treated with uterine artery embolization: incidence predictive factors 2020
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- Uterine Artery Embolization Versus Hysterectomy in the Treatment of Symptomatic Adenomyosis: Protocol for the Randomized QUESTA Trial 2018
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- Uterine-Sparing Laparoscopic Pelvic Plexus Ablation, Uterine Artery Occlusion, and Partial Adenomyomectomy for Adenomyosis 2017
- Uterine Artery Embolization for the Treatment of Adenomyosis: A Systematic Review and Meta-Analysis 2017
- Adenomyosis: Imaging and Treatment 2017
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- Uterine Artery Embolization Versus Hysterectomy in the Treatment of Symptomatic Adenomyosis: Protocol for the Randomized QUESTA Trial (Preprint) 2017
- Outcomes in Adenomyosis Treated with Uterine Artery Embolization Are Associated with Lesion Vascularity: A Long-Term Follow-Up Study of 252 Cases 2016
- Clinical Predictors of Long-term Success in Ultrasound-guided High-intensity Focused Ultrasound Ablation Treatment for Adenomyosis: A Retrospective Study 2016
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- Uterine artery embolization for the treatment of adenomyosis 2008
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