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Related Concept Videos

Uterine Tubes01:16

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The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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Related Experiment Video

Updated: Dec 19, 2025

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Updates in uterine artery embolization for leiomyomas.

Annie Kim1, Moona Arabkhazaeli, Amanda Ulrich

  • 1Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA.

Current Opinion in Obstetrics & Gynecology
|June 4, 2020
PubMed
Summary

Uterine artery embolization (UAE) is a safe treatment for uterine fibroids, but long-term studies are needed. Recent findings show a 35% reoperation rate within 10 years, raising concerns about fertility.

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Area of Science:

  • Gynecology
  • Interventional Radiology

Background:

  • Uterine leiomyomas affect 70-80% of reproductive-aged women.
  • Uterine artery embolization (UAE) is a key interventional treatment option.

Purpose of the Study:

  • To provide an updated review of novel findings regarding UAE for uterine leiomyomas.
  • To assess the evolving evidence guiding treatment options for uterine fibroids.

Main Methods:

  • Review of observational studies and randomized controlled trials.
  • Analysis of recent trial data on UAE efficacy and outcomes.

Main Results:

  • Short-term outcomes for UAE remain favorable.
  • Recent trials indicate a reoperation rate of up to 35% within 10 years.
  • Potential concerns regarding ovarian reserve, fertility, and pregnancy outcomes exist.

Conclusions:

  • UAE is a safe and effective alternative to surgery for managing uterine leiomyomas.
  • Further investigation is needed to determine optimal UAE use across diverse patient populations.