Impact of spontaneous fibroid expulsion of uterine leiomyoma on pregnancy outcome after uterine arteries embolization.

Authors

  • M. V. Medvediev

DOI:

https://doi.org/10.26641/2307-0404.2015.3.53123

Keywords:

uterine leiomyoma, UAE, leiomyoma expulsion, pregnancy outcome

Abstract

Uterine leiomyoma (UL) is common benign tumor of female genitals. Uterine artery embolization (UAE) is widely used method of organ-sparing UL treatment. Safe ty of this procedure for future fertility and labor is controversial. We present a case of pregnancy in woman who previously underwent uterine artery embolization. During 12-months’ follow-up period patient periodically noted vaginal di­scharge. No signs of UL have been found on ultrasound in 12 months of follow-up. Normal pregnancy occurred 1.5 years after UAE procedure which ended in normal labor without complications. Most authors report increased risk of pregnancy complications such as postpartum hemorrhage, preterm delivery, malpresentation after UAE{Berkane, 2010 #5161}. Our point of view is that a lot of pregnancy complications are possibly associated with persistence of necrotic leiomyoma tissue in uterine wall after UAE. Presented case allowed to draw preliminary conclusions that complete disappearance of UL nodule after UAE could improve pregnancy outcomes.

Author Biography

M. V. Medvediev

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Obstetrics and Gynecology
Dzerzhinsky str., 9, Dnipropetrovsk, 49044, Ukraine

References

Tatarchuk TF, Kosey NV, Altman IV, Kondratiuk VA. [Method of uterine arteries embolization in organ-sparing treatment of uterine leiomyoma]. Zdorovie zhen¬shini. 2009;37(1):15-20. Russian. 2. Tikhomirov AL, Lubnin DM. [Uterine myoma]. Moscow.: MIA. 2006;176. Russian. 3. Berkane N, Moutafoff-Borie C. Impact of pre¬vious uterine artery embolization on fertility. Curr Opin Obstet Gynecol. 2010;22(3):242-7. 4. Burbank F Fibroids, menstruation, childbirth, and evolution: the fascinating story of uterine blood vessels. Tucson, AZ: Wheatmark. 2009;277. 5. Goldberg J, Pereira L. Pregnancy outcomes fol¬lowing treatment for fibroids: uterine fibroid embolization versus laparoscopic myomectomy. Curr Opin Obstet Gynecol. 2006;18(4):402-6. 6. Higham JM, O'brien PMS, Shaw RW. As¬sessment of menstrual blood loss using a pictorial chart. An. Int. J. Obstetrics Gynaecology. 1990;97(8):734. 7. Redecha MJr, Mizickova M, Javorka V, Redecha MSr. Pregnancy after uterine artery embolization for the treatment of myomas: a case series. Arch Gynecol Obstet. 2013;287(1)71-76.

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Published

2015-09-23

How to Cite

1.
Medvediev MV. Impact of spontaneous fibroid expulsion of uterine leiomyoma on pregnancy outcome after uterine arteries embolization. Med. perspekt. [Internet]. 2015Sep.23 [cited 2024Apr.24];20(3):37-41. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/53123

Issue

Vol. 20 No. 3 (2015)

Section

CLINICAL MEDICINE

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