Use of uterine vessel occlusion in the management of uterine myomas: two different approaches.
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.
Lee
Wen-Ling
WL
Institute of Clinical Medicine, Institute of Biochemistry, National Yang-Ming University School of Medicine, Taipei, Taiwan.
Liu
Wei-Min
WM
Fuh
Jong-Ling
JL
Tsai
Ying-Chieh
YC
Shih
Chun Che
CC
Wang
Peng-Hui
PH
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*