title: Use of uterine vessel occlusion in the management of uterine myomas: two different approaches.
abstract: OBJECTIVE
  To evaluate the difference between uterine artery occlusion alone (UAO) and combined (UVO) with simultaneous blockage of anastomosis between the uterine and ovarian vessels in the management of women with myomas in a 3-year follow-up.
  
  
  METHODS
  Case-control study.
  
  
  METHODS
  University-associated hospital.
  
  
  METHODS
  One hundred ten patients with uterine fibroids.
  
  
  METHODS
  Forty-four patients underwent UAO and 66 patients UVO; patients were matched using a statistically generated selection of all UVOs performed during the same period.
  
  
  METHODS
  Outcomes were assessed by comparing surgical parameters, immediate postoperative recovery, and therapeutic outcomes.
  
  
  RESULTS
  During the 3-year follow-up, the majority of patients in both groups reported symptom relief (ranging from 61.5% to 84.6% in the UVO group and 31.6% to 77.3% in the UAO group, on the basis of different kinds of symptoms). However, symptom control seemed to be different between the two groups when the follow-up time was prolonged; for example, symptom control was better in the UVO group at the end of 3 years, especially for menorrhagia (76.5% vs. 34.5%). The fibroid size was smaller in the UVO group, resulting in a lower reintervention rate, compared with the UAO group (13.6% vs. 36.4%).
  
  
  CONCLUSIONS
  If UVO is used for uterine fibroids, the 3-year efficacy might be better than that with UAO. This finding is worthy of further investigation.
authors.affiliation: Institute of Clinical Medicine, Institute of Biochemistry, National Yang-Ming University School of Medicine, Taipei, Taiwan.
authors.forename: Wen-Ling
authors.initials: WL
authors.lastname: Lee
authors.forename: Wei-Min
authors.initials: WM
authors.lastname: Liu
authors.forename: Jong-Ling
authors.initials: JL
authors.lastname: Fuh
authors.forename: Ying-Chieh
authors.initials: YC
authors.lastname: Tsai
authors.forename: Chun Che
authors.initials: CC
authors.lastname: Shih
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003251:Constriction, Pathologic; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D009214:Myoma / Q000098:blood supply / Q000601:surgery*; D010053:Ovary / Q000098:blood supply; D016896:Treatment Outcome; D055988:Uterine Artery / Q000601:surgery*; D014594:Uterine Neoplasms / Q000098:blood supply / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*