title: Alternatives to surgery for the treatment of myomas.
abstract: Uterine fibroids are benign neoplasms that can cause distressing symptoms in women during their reproductive age. They are often associated with menorrhagia that can determine anemia or bulk-related symptoms. Different treatment options are available: medical therapy has the goal to treat related symptoms, while semi-invasive or non-invasive uterus-sparing procedures aim to treat symptoms and eventually to determine a reduction in fibroids size. In this review we illustrate the current semi-invasive and totally non-invasive most frequently used uterus sparing procedures available. A review of the literature along with personal experience will offer the readers a panoramic view of these up-to-date treatments to be considered as different possibilities to treat women affected by uterine fibroids looking for uterus conserving non-surgical approach.
authors.affiliation: Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I "Sapienza", University of Rome, Rome, Italy - federica.ciolina@gmail.com.
authors.forename: Federica
authors.initials: F
authors.lastname: Ciolina
authors.forename: Lucia
authors.initials: L
authors.lastname: Manganaro
authors.forename: Roberto
authors.initials: R
authors.lastname: Scipione
authors.forename: Alessandro
authors.initials: A
authors.lastname: Napoli
mesh_terms: D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology / Q000628:therapy*; D008595:Menorrhagia / Q000209:etiology; D059351:Organ Sparing Treatments; D014594:Uterine Neoplasms / Q000473:pathology / Q000628:therapy*; D014599:Uterus / Q000473:pathology*