Linked Life Data

12934546

Source:http://linkedlifedata.com/resource/pubmed/id/12934546

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2003-8-25
pubmed:abstractText
Uterine artery embolization (UAE) for leiomyoma is becoming accepted as an alternative to surgical treatment. However, gynecologists who have treated follow-up patients are greatly concerned about the postoperative course after UAE. One significant complication after UAE is infection owing to obstruction resulting from the sloughing of necrotic fibroids that interfere with the passage of intrauterine discharge. In our UAE procedures, the incidence of infection requiring hospitalization was 3.6%, and one patient (0.22%) had to undergo hysterectomy. Transcervical resection (TCR) using hysteroscopy is an extremely effective surgical intervention for removing necrotic fibroids for reserve of the uterus. However, additional treatment for intrauterine abnormalities after UAE may rest on whether or not the hysteroscopic procedure was performed. Although ovarian function after UAE seems to be maintained in patients < or = 44 years of age, serious complications include intrauterine adhesions that appear as amenorrhea or hypomenorrhea and lead to infertility. The results of our hysteroscopic evaluation after UAE in 7 patients who wished to conceive was intrauterine adhesion in four patients, subendometrial liner scar in one patient, and yellowing of the endometrium in three patients. However, in spite of impairment of the endometrium, the pregnancy rate after UAE in our study was 5/10(50.0%). It is essential that the indications of UAE for patients who wish to conceive be decided according to careful individual evaluation, and cautious follow-up is necessary.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0048-0428
pubmed:author
pubmed:issnType
Print
pubmed:volume
63
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
294-302
pubmed:dateRevised
2011-7-26
pubmed:meshHeading
pubmed:year
2003
pubmed:articleTitle
[Uterine artery embolization for leiomyoma: complications and effects on fertility].
pubmed:affiliation
Reproduction Center, Sanno Hospital.
pubmed:publicationType
Journal Article, English Abstract, Case Reports