[Up date of the conservative management of the uterine leiomyomata].
The management of the leiomyomata uteri, the most common of the uterine tumors, has changed a lot in the lasa years. The tendency for women to postpone a first pregnancy until later years, when there is a more frequent occurrence of myomata and the fertility desire persist. In that way there is an increasing consideration of the conservative therapy. The epidemiological data are exposed, as the main symptoms and the diagnostic procedures. We refer the nowadays conservative treatments, since the surgical ones (myomectomies, abdominal, laparoscopic and histeroscopio, embolization, uterine artery occlusion); including the myolysis, and termoablative techniques; until the pharmacological therapy (Gn-RH(a)) gestrinone medroxiprogesterone, mifepristone, etc. In each of the several treatments we refer its indications, the main steps of the technique; its advantages and disadvantages; and results. Finally we discuss how select the use of each of the procedures and set when and how it must be done.
Ruiz Velasco
Víctor
V
D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000628:therapy*; D014594:Uterine Neoplasms / Q000628:therapy*