title: Temporary uterine artery occlusion for treatment of menorrhagia and uterine fibroids using an incisionless Doppler-guided transvaginal clamp: case report.
abstract: We report the successful treatment of a 43-year-old woman with menorrhagia and multiple uterine fibroids by temporary uterine artery occlusion. Using a Doppler-guided transvaginal clamp, her uterine arteries were non-invasively identified and occluded by mechanical compression against the cervix for 6 h. Following removal of the clamp, blood flow in the uterine arteries returned immediately. Menorrhagia symptoms were tracked with the Ruta Menorrhagia Severity Scale. Uterine and fibroid volumes were measured by analysis of magnetic resonance images. The patient's self-reported menorrhagia symptoms were significantly reduced at 6 months (70% reduction in Ruta score) and both uterine volume and fibroid volume had decreased by more than 44% at 6 months. This case report illustrates the potential applicability of a simple-to-use, non-surgical device for the treatment of menorrhagia and uterine fibroids by temporary uterine artery occlusion.
authors.affiliation: Department of Obstetrics and Gynecology, University of Western Ontario, St Joseph's Health Care, London, Ontario, Canada. george.vilos@sjhc.london.on.ca
authors.forename: G A
authors.initials: GA
authors.lastname: Vilos
authors.forename: E C
authors.initials: EC
authors.lastname: Vilos
authors.forename: W
authors.initials: W
authors.lastname: Romano
authors.forename: B
authors.initials: B
authors.lastname: Abu-Rafea
mesh_terms: D000328:Adult; D001158:Arteries / Q000601:surgery; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D008595:Menorrhagia / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014594:Uterine Neoplasms / Q000150:complications*; D014599:Uterus / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery; D014621:Vagina / Q000601:surgery; D014656:Vascular Surgical Procedures