title: Combined myomectomy and uterine artery embolization.
abstract: Objective: To evaluate the safety and efficacy of uterine artery embolization combined with endoscopic myomectomy.
  
  
  METHODS
  We conducted a retrospective chart review of patients (n = 125) who underwent myomectomy concurrent with embolization within one month. We assessed two groups: 1) uterine artery embolization followed by hysteroscopic myomectomy and 2) uterine artery embolization followed by laparoscopic myomectomy.
  
  
  RESULTS
  Following the combination procedures, 72% of the surveyed women reported symptom improvement. With the combined procedures, 92.5% of patients experienced reduction in myoma diameter and 87.5% of patients had decreased uterine size after an average of 4.70 months post subsequent procedure. The amount of decrease in the uterine volume (p = 0.39) and fibroid size (p = 0.23) were not significant between the two endoscopic myomectomy groups.
  
  
  CONCLUSIONS
  Combining myomectomy with uterine artery embolization is a safe and effective procedure in treating symptoms and reducing myoma and uterine volumes.
authors.affiliation: Department of Obstetrics and Gynecology, University of California, Los Angeles David Geffen School of Medicine , Los Angeles, CA , USA.
authors.forename: Bruce
authors.initials: B
authors.lastname: McLucas
authors.forename: William D
authors.initials: WD
authors.lastname: Voorhees
mesh_terms: D000328:Adult; D005260:Female; D006470:Hemorrhage; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D009214:Myoma / Q000601:surgery / Q000628:therapy*; D012189:Retrospective Studies; D055357:Uterine Artery Embolization / Q000379:methods*; D063186:Uterine Myomectomy / Q000379:methods*
keywords: Embolization; hysteroscopic; laparoscopic; myomata; myomectomy