title: Long-term follow up after uterine artery embolization for symptomatic uterine leiomyomas.
abstract: Uterine artery embolization is one of the established treatment options for symptomatic uterine leiomyomas, with a proven effect on the size of leiomyomas and providing short-term relief of symptoms. Only few studies have addressed long-term satisfaction with the treatment. We conducted a historical cohort study of 96 patients. The patients were treated at a median age of 43years (range 23-59years). The median size of the largest myoma was 69mm (range 20-170mm). By use of a postal questionnaire (response rate 86%) and audit of patient files, we found that 53% reported full recovery of symptoms and 36% some effect on symptoms after a median of 8.9years (range 8-9.4years). Overall, 25% of the women reported a need for further treatment. The rate of eventual hysterectomy was 22%. We confirm that uterine artery embolization is a safe and well-tolerated procedure with a high long-term satisfaction rate.
authors: Lillebaelt Hospital Kolding, Gynecology and Obstetrics, Kolding, Denmark. bbaekholm@hotmail.com
authors: Bente
authors: B
authors: Poulsen
authors: Torben
authors: T
authors: Munk
authors: Pernille
authors: P
authors: Ravn
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D016896:Treatment Outcome; D055357:Uterine Artery Embolization; D014594:Uterine Neoplasms / Q000601:surgery*