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Myoma expulsion after uterine artery embolization
Mikulás Redecha1, K Holomán, V Javorka
1Department of Gynecology and Obstetrics, Comenius University, Bratislava, Slovakia. mikiinus@yahoo.com
Archives of Gynecology and Obstetrics
|March 26, 2009
Summary
Uterine artery embolization (UAE) for symptomatic uterine fibroids can lead to myoma expulsion. This expulsion, initially considered a complication, can actually result in a complete resolution of symptoms.
Area of Science:
- Gynecology
- Interventional Radiology
- Reproductive Medicine
Background:
- Uterine artery embolization (UAE) is a common treatment for symptomatic uterine fibroids.
- Myoma expulsion is a known, though infrequent, complication of UAE.
- Intramural fibroids can present with significant symptoms like dysmenorrhea and pressure.
Purpose of the Study:
- To evaluate the outcome of myoma expulsion following UAE in a patient with an intramural fibroid.
- To determine if myoma expulsion should be reclassified as a complication or a treatment outcome.
Main Methods:
- A 32-year-old woman with symptomatic intramural fibroid underwent UAE.
- The patient experienced myoma expulsion three weeks post-procedure.
- Transvaginal resection was performed for the expelled necrotic myoma.
Main Results:
- The UAE procedure itself was uncomplicated.
- The patient presented with vaginal discharge and bleeding due to myoma expulsion.
- Following transvaginal resection, the patient became symptom-free four months later.
Conclusions:
- Myoma expulsion after UAE, particularly for intramural fibroids, can lead to a definitive treatment outcome.
- This event may represent a form of conservative, successful fibroid treatment rather than a complication.
- Further investigation into expulsion as a treatment modality is warranted.
