Mohammed Salama, Mohammed Habib*
Cardiology Department, Alshifa Hospital, Gaza, Palestine, Israel
*Corresponding author: Mohammed Habib, MD, PhD, Cardiology Department, Alshifa Hospital, Gaza, Palestine, Israel, Tel: 00972599514060; E-mail: [email protected].
Received Date: March 10, 2023
Published Date: April 04, 2023
Citation: Habib M, et al. (2023). Uterine Artery Embolization for Symptomatic Fibroids Uterus in Gaza. Mathews J Gynecol Obstet. 7(1):25.
Copyrights: Habib M, et al. © (2023).
Background: To evaluate interventional success, clinical success, and reduction of fibroid diameter after uterine artery embolization (UAE) for patients with symptomatic fibroid uterus in Gaza. Methods: Retrospective study of thirty -two women with symptomatic uterine underwent uterine magnetic resonance imaging (MRI) before and 6 months after UAE. Primary outcome: clinical success is the improvement of the patients presenting symptoms, such as menorrhagia or pain without additional therapy. Secondary outcome: interventional success is a complete occlusion in both uterine arteries and reduction measures of fibroid diameter after 6 months after embolization. Results: Of 32 patients with mean age 44±7.6 years and follow-up between 6-70 months, 30 (93.7%) patients completed follow-up, 1 (3 %) patient had a second procedure, and 2 (6 %) were lost to follow-up. Primary outcome: the improvement of symptoms, such as menorrhagia or bulk-related pain without additional therapy was seen in 29 (90%) patients. one patient underwent surgery hysterectomy 14 months after UAE-related complaints and failure of conservative treatment and 2 patients still received therapy to control symptoms. interventional success is a complete occlusion in both uterine arteries was seen in 31 (97%) patients. The mean dominant fibroid diameter reduced from 6.2 ± 2.4 cm to 1.7± 1.44 cm (p = 0.001). Conclusions: Uterine artery embolization significant improvements in fibroid uterus symptoms and long-term follow-ups with low complication rates and very good clinical efficacy.
Keywords: Uterine Artery Embolization, Symptoms, Fibroids, Patients.