title: [Myomas management, alternatives to hysterectomy and myomectomy: what can we propose?].
abstract: Second generation endometrial ablation techniques must be used preferably as they present less complications than first generation techniques. An efficient contraception is highly recommended after thermal ablation. Myolysis techniques are still investigational, focused ultrasound myolysis MR or ultrasound-guided is accessible to approximately 10% of uterine myomas with 70% of long-term symptom relief. Outcomes of laparoscopic uterine artery occlusion are similar to those of uterine artery embolization but with less long-term durability.
authors.affiliation: Centre hospitalier régional universitaire de Tours, hôpital Bretonneau, département de gynécologie, 37044 Tours, France. L.OULDAMER@chu-tours.fr
authors.forename: Lobna
authors.initials: L
authors.lastname: Ouldamer
authors.forename: Isabelle
authors.initials: I
authors.lastname: De Jesus
mesh_terms: D055356:Endometrial Ablation Techniques / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D009214:Myoma / Q000601:surgery* / Q000628:therapy; D055357:Uterine Artery Embolization / Q000379:methods*; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery* / Q000628:therapy; D014599:Uterus / Q000098:blood supply* / Q000601:surgery