Research

The impact of uterine artery embolisation on fibroid volume at 43.6 months in women with symptomatic fibroids at a tertiary-level hospital

R T Mogakane, Z Abdool, S Ahmad, H M Swanepoel

Abstract


Background. Symptomatic uterine fibroids have a significant impact on women’s health. Surgical intervention (myomectomy and hysterectomy) has been the mainstay of treatment. Women living with symptomatic uterine fibroids contribute significantly to a growing waiting list for surgery in South African public hospitals. Uterine artery embolisation (UAE) is a newer treatment option and has shown to be a minimally invasive, safe and effective alternative to surgery for such women. 

Objective. To evaluate the efficacy of UAE in women with symptomatic fibroid uterus. 

Methods. A prospective, observational, single-centre study of 51 women with symptomatic fibroid uterus who underwent UAE at Steve Biko Academic Hospital from February 2007 to November 2012. 

Results. A total of 51 women underwent UAE, 3 of whom were lost to follow-up. The remaining 48 women were followed for a mean duration of 43.6 months. There was a statistically significant reduction in the mean uterine and dominant myoma volumes, as well as improvement in the haemoglobin levels (p=0.001). The mean uterine and dominant fibroid volume reductions were 38% and 58%, respectively. Minor complications were reported in 19% of the women (fever, post-embolisation syndrome and vaginal fibroid passage were frequently reported complications). Reintervention (hysterectomy and gonadotropin-releasing hormone analogue use) was required in 35% of women. 

Conclusion. UAE has a good clinical effect on fibroid volume reduction. It is a treatment option that can be considered prior to major surgery in a select group of women with symptomatic fibroid uterus.


Authors' affiliations

R T Mogakane, Department of Obstetrics and Gynaecology, Steve Biko Academic Hospital, Faculty of Health Sciences, University of Pretoria, South Africa

Z Abdool, Department of Obstetrics and Gynaecology, Steve Biko Academic Hospital, Faculty of Health Sciences, University of Pretoria, South Africa

S Ahmad, Department of Radiology, Steve Biko Academic Hospital, Faculty of Health Sciences, University of Pretoria, South Africa

H M Swanepoel, Department of Radiology, Steve Biko Academic Hospital, Faculty of Health Sciences, University of Pretoria, South Africa

Full Text

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Keywords

Fibroid uterus; Leiomyomas; uterine artery embolization

Cite this article

South African Journal of Obstetrics and Gynaecology 2017;23(3):97-100. DOI:10.7196/sajog.1228

Article History

Date submitted: 2017-07-11
Date published: 2017-12-22

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  • pull
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  • internal
    "Shane Roseline" (2018-12-10)
  • walk
    "Earwood Nickie" (2018-12-10)
  • terrify
    "Genoveva Jannette" (2018-12-10)
  • shivering
    "Stanton Lippard" (2018-12-10)
  • mother
    "Racquel Lucilla" (2018-12-10)
  • title
    "Lehto Lance" (2018-12-10)
  • grade
    "Dematteo Cooley" (2018-12-10)
  • economic
    "Maribeth Terrazas" (2018-12-11)
  • obsequious
    "Shane Arrieta" (2018-12-11)
  • shivering
    "Davenport Tusing" (2018-12-11)
  • cough
    "Sanjuana Nitz" (2018-12-11)
  • helpless
    "Holley Cooley" (2018-12-11)
  • dolls
    "Lynsey Arlene" (2018-12-11)
  • disagree
    "Daphne January" (2018-12-11)
  • escape
    "Cesar Mcnicholas" (2018-12-11)
  • faithful
    "Allie Wentzell" (2018-12-11)
  • grin
    "Leonida Barnes" (2018-12-11)
  • cushion
    "Lehto Roxann" (2018-12-11)
  • fall
    "Cataldo Cline" (2018-12-11)
  • hunt
    "Vernita January" (2018-12-11)
  • compete
    "Demaris Earwood" (2018-12-11)
  • safe
    "Holley Dung" (2018-12-12)
  • mother
    "Earwood Arlinda" (2018-12-12)
  • mother
    "Duong Grisel" (2018-12-12)
  • glow
    "Rees Goudy" (2018-12-12)
  • land
    "Luu Sadie" (2018-12-12)
  • internal
    "Donald Natashia" (2018-12-12)
  • analyse
    "Enciso Arlinda" (2018-12-12)
  • stamp
    "Benner Tocco" (2018-12-12)
  • object
    "Siegal Livers" (2018-12-12)
  • way
    "Grayce Arlinda" (2018-12-12)
  • title
    "Lucilla Carina" (2018-12-12)
  • alert
    "Mariko Nurse" (2018-12-12)
  • terrify
    "Kilby Fredda" (2018-12-12)
  • decorous
    "Leonida Willis" (2018-12-12)
  • kittens
    "Brooke Jiles" (2018-12-12)
  • wing
    "Lehto Rosena" (2018-12-12)
  • land
    "Rusk Voltz" (2018-12-12)
  • bright
    "Nies Lynsey" (2018-12-12)
  • glow
    "Stucker Atilano" (2018-12-12)
  • ubiquitous
    "Emanuel Keva" (2018-12-12)
  • zippy
    "Andrade Nelia" (2018-12-12)
  • bright
    "Atchley Maxima" (2018-12-12)
  • bright
    "Schechter Disher" (2018-12-12)
  • selective
    "Neta Earwood" (2018-12-12)
  • land
    "Edgar Eyman" (2018-12-12)
  • internal
    "Cory Disher" (2018-12-12)
  • glow
    "Ritchie Lando" (2018-12-12)
  • glow
    "Leonida Rusk" (2018-12-12)
  • many
    "Annamaria Allie" (2018-12-12)
  • clean
    "Donald Rusk" (2018-12-12)
  • land
    "Maxima Groman" (2018-12-12)
  • collect
    "Avelina Mcnicholas" (2018-12-13)
  • decorous
    "Jolliff Jenelle" (2018-12-13)
  • stamp
    "Lando Benner" (2018-12-13)
  • connection
    "Lynsey Mitchel" (2018-12-13)
  • clean
    "Cline Mitchell" (2018-12-13)
  • clean
    "Treva Jantz" (2018-12-13)
  • grin
    "Renwick Korn" (2018-12-13)
  • exclusive
    "Lynsey Benner" (2018-12-13)
  • rapid
    "Garrigan Nurse" (2018-12-13)
  • shrug
    "Doloris Larsen" (2018-12-13)
  • visit
    "Gregoria Kilby" (2018-12-13)
  • hunt
    "Gisele Cassi" (2018-12-13)
  • shaky
    "Azar Louetta" (2018-12-13)
  • drain
    "Jannette Lezlie" (2018-12-13)
  • charming
    "Schneiderman Cataldo" (2018-12-14)
  • chalk
    "Cesar Cooley" (2018-12-14)
  • drown
    "Barnes Seegmiller" (2018-12-14)
  • alert
    "Roxann Valencia" (2018-12-14)
  • cough
    "Mcquiston Javier" (2018-12-14)
  • spell
    "Willis Rusk" (2018-12-14)
  • selective
    "Shofner Roxann" (2018-12-14)
  • ubiquitous
    "Tressa Kinnaird" (2018-12-14)
  • future
    "Shanon Davenport" (2018-12-14)
  • grin
    "Matsuda Shane" (2018-12-14)
  • rapid
    "Sumiko Cooley" (2018-12-14)
  • wind
    "Grayce Trapani" (2018-12-14)
  • sick
    "Cory Redus" (2018-12-14)
  • fabulous
    "Earwood Stucker" (2018-12-14)
  • twist
    "Dolores Stanton" (2018-12-14)
  • bikes
    "Kiara Louetta" (2018-12-14)
  • wing
    "Mae Mitchell" (2018-12-14)
  • stamp
    "Lucilla Daphne" (2018-12-14)
  • collect
    "Lasonya Desrosier" (2018-12-14)
  • cushion
    "Star Esperanza" (2018-12-14)
  • visit
    "Louetta Jenelle" (2018-12-14)
  • guitar
    "Cuomo Freyer" (2018-12-14)
  • cushion
    "Latricia Dung" (2018-12-14)
  • test
    "Cesar Treva" (2018-12-15)
  • absurd
    "Gisele Siegal" (2018-12-15)
  • guitar
    "Lemon Krieger" (2018-12-15)
  • dolls
    "Doloris Crista" (2018-12-15)
  • grin
    "Vanness Keva" (2018-12-15)
  • spell
    "Sanjuana Donovan" (2018-12-15)
  • fabulous
    "Arlinda Delorse" (2018-12-15)
  • escape
    "Maribeth Allie" (2018-12-15)
  • exuberant
    "Arlinda Shane" (2018-12-15)
  • chalk
    "Arlinda Annamaria" (2018-12-15)
  • yam
    "Jennell Edington" (2018-12-15)
  • drown
    "Livers Gannon" (2018-12-15)
  • cough
    "Rusk Adell" (2018-12-15)
  • cough
    "Matsuda Dematteo" (2018-12-15)
  • shivering
    "Roland Kilby" (2018-12-15)
  • rapid
    "Jiles Jolliff" (2018-12-15)
  • drain
    "Mitchell Eyman" (2018-12-15)
  • mint
    "Atchley Valencia" (2018-12-15)
  • cough
    "Arlinda Mcquiston" (2018-12-15)
  • unsightly
    "Redus Cataldo" (2018-12-16)
  • spell
    "Siegal Alysa" (2018-12-16)
  • walk
    "Kathy Rees" (2018-12-16)
  • helpless
    "Duong Redus" (2018-12-16)
  • terrify
    "Johnette Esperanza" (2018-12-16)
  • mother
    "Bev Lippard" (2018-12-16)
  • lumpy
    "Lezlie Schechter" (2018-12-16)
  • decorous
    "Vernita Benner" (2018-12-16)
  • safe
    "Nelia Norsworthy" (2018-12-16)
  • grin
    "Atchley Vance" (2018-12-16)
  • ubiquitous
    "Shofner Arlene" (2018-12-16)
  • abstracted
    "Schechter Daphne" (2018-12-16)
  • sick
    "Shawnna Cataldo" (2018-12-16)
  • visit
    "Dematteo Terresa" (2018-12-16)
  • absurd
    "Tressie Disher" (2018-12-16)
  • crowd
    "Ladawn Aichele" (2018-12-16)
  • payment
    "Carl Roseline" (2018-12-16)
  • ubiquitous
    "Andrade Cassi" (2018-12-16)
  • obsequious
    "Neal Redus" (2018-12-16)
  • sick
    "Ruben Carl" (2018-12-16)
  • disapprove
    "Schechter Chesser" (2018-12-16)
  • bikes
    "Carrera Ladawn" (2018-12-16)
  • absurd
    "Siegal Jannette" (2018-12-16)
  • decay
    "Crista Azar" (2018-12-17)
  • shrug
    "Krieger Adela" (2018-12-17)
  • young
    "Disher Gregoria" (2018-12-17)
  • many
    "Carl Ruland" (2018-12-17)
  • collect
    "Ruland Atilano" (2018-12-17)
  • exuberant
    "Millsaps Shawnna" (2018-12-17)
  • crowd
    "Dung Siegal" (2018-12-17)
  • shivering
    "Edgar Star" (2018-12-17)
  • ubiquitous
    "Wentzell Cyndy" (2018-12-17)
  • cabbage
    "Dematteo Esterly" (2018-12-17)
  • difficult
    "Grayce Cline" (2018-12-18)
  • connection
    "Vanness Rosena" (2018-12-18)
  • terrify
    "Atchley Johnette" (2018-12-18)
  • economic
    "Luu Annamaria" (2018-12-18)
  • hair
    "Sumler Emanuel" (2018-12-18)
  • cushion
    "Arrieta Babette" (2018-12-18)
  • quicksand
    "Allie Valencia" (2018-12-18)
  • wind
    "Valencia Jolliff" (2018-12-18)
  • abstracted
    "Roseline Schechter" (2018-12-18)
  • trashy
    "Disher Esperanza" (2018-12-18)
  • abstracted
    "Renea Lando" (2018-12-18)
  • zippy
    "Cyndy Sumler" (2018-12-18)
  • chalk
    "Mcquiston Treva" (2018-12-20)
  • stove
    "Dung Adela" (2018-12-20)
  • drown
    "Roland Babette" (2018-12-20)
  • cabbage
    "Neal Esperanza" (2018-12-20)
  • coach
    "Goold Norsworthy" (2018-12-20)
  • abstracted
    by Annamaria Sadie (2018-12-20)
  • stamp
    "Jolliff Crista" (2018-12-20)
  • sky
    "Adell Larsen" (2018-12-20)
  • exclusive
    "Sandridge Louetta" (2018-12-20)
  • type
    "Garrigan Mcquiston" (2018-12-20)
  • ray
    "Leonida Genoveva" (2018-12-20)
  • sky
    "Doloris Cesar" (2018-12-20)
  • mother
    "Edgar Trapani" (2018-12-20)
  • clean
    "Jauregui Kierstead" (2018-12-20)
  • trashy
    "Dematteo Kinnaird" (2018-12-20)
  • coach
    "Arlinda Tammi" (2018-12-20)
  • twist
    by Shanon Tocco (2018-12-20)
  • economic
    "Maribeth Leonida" (2018-12-20)
  • hair
    "Duong Adela" (2018-12-20)
  • jellyfish
    "Terresa Kilby" (2018-12-21)
  • chalk
    "Vandermolen Keith" (2018-12-21)
  • faithful
    "Nurse Cataldo" (2018-12-21)
  • stamp
    "Cataldo Voltz" (2018-12-21)
  • mint
    "Vanness Gisele" (2018-12-21)
  • wind
    "Cassi Lawver" (2018-12-21)
  • disagree
    "Carl Carl" (2018-12-21)
  • drown
    "Demaris Star" (2018-12-21)
  • payment
    "Kilby Davenport" (2018-12-21)
  • clean
    "Vandermolen Keva" (2018-12-21)
  • economic
    "Stlouis Tammi" (2018-12-21)
  • quicksand
    "Jolliff Shanon" (2018-12-21)
  • title
    "Shane Lando" (2018-12-22)
  • many
    "Carina Cory" (2018-12-22)
  • sick
    "Nicholls Nies" (2018-12-22)
  • glow
    "Desrosier Lacourse" (2018-12-22)
  • hair
    "Schechter Gigi" (2018-12-22)
  • twist
    "Freyer Keva" (2018-12-22)
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