Premium
Uterine artery ligation for management of uterine fibroids
Author(s) -
Akinola O.I.,
Fabamwo A.O.,
Ottun A.T.,
Akinniyi O.A.
Publication year - 2005
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2005.07.012
Subject(s) - medicine , uterine artery , uterine fibroids , ligation , uterine leiomyoma , leiomyoma , surgery , gynecology , pregnancy , gestation , genetics , biology
Objective To determine the efficacy of uterine artery ligation by the vaginal route for the management of symptomatic uterine fibroids. A pilot study had suggested that the procedure was effective. Methods After bilateral uterine artery ligation, ultrasonic measurements of uterine and fibroid volumes were determined at 6 and 12 months in 21 women (age, 31–49 years) with symptomatic fibroids. The severity of symptoms was assessed preoperatively and postoperatively. Results Mean uterine and fibroid volumes were significantly reduced at 6 and 12 months. A consistent pattern of decreased duration of menstrual blood flow was recorded. All participants who completed follow‐up expressed satisfaction with treatment outcome. Conclusion The procedure was found to be a safe, inexpensive, and effective therapeutic option for the treatment of symptomatic uterine fibroids.