Navigation Links
Satisfaction After Fibroid Embolization Similar to Hysterectomy
Date:2/27/2008

Study finds the first is less invasive, has faster recovery

WEDNESDAY, Feb. 27 (HealthDay News) -- Women with fibroids face a myriad of choices for treatment, each with its own benefits and drawbacks, which can make it difficult to choose the right procedure.

Now, a new study helps define the choice between at least two options -- uterine artery embolization (UAE) and hysterectomy. After two years of follow-up, the study, published in the March issue of Radiology, found that women who had UAE reported an equal quality of life compared to women who'd had a hysterectomy.

"Both UAE and hysterectomy improved health-related quality of life," wrote the Dutch researchers, who added that they believe UAE is a good alternative to hysterectomy.

"UAE does offer a decreased hospital stay, quicker recovery and less morbidity," added Dr. William Romano, an interventional radiologist at Beaumont Hospital in Royal Oak, Mich.

As many as one in four women have fibroids that cause symptoms, such as heavy menstrual bleeding, pelvic pain and reproductive problems, according to the National Institute of Child Health and Human Development.

Common treatment options include hysterectomy, myomectomy (surgical removal of individual fibroids), UAE, and endometrial ablation, a procedure in which the endometrial lining of the uterus is destroyed. In UAE, two catheters are placed in the uterine arteries, and small particles are injected that block the flow of blood supply to the fibroids. Women who wish to retain their fertility cannot choose hysterectomy, UAE or endometrial ablation.

For the study, 177 women with fibroids and troubling symptoms who had originally planned to have hysterectomies agreed to participate in a randomized trial comparing UAE to hysterectomy.

The researchers then followed the women's health for two years and assessed health-related quality of life at six different times. Twenty percent of the women in the UAE group went on to have hysterectomy, which offers a permanent end to symptoms, because the uterus is removed.

Six weeks after treatment, people in the UAE group had higher satisfaction scores for physical function than those who underwent hysterectomy.

Quality-of-life scores improved significantly for people in both groups six months after treatment. The only difference at six months was in a measure called the defecation distress inventory that related to bowel symptoms, and these scores improved in the first six months for the UAE group but not for the hysterectomy group.

After two years, more than 90 percent of the women in each group reported being satisfied with their treatment, according to the study.

"UAE is an excellent addition to women's options," said Dr. Erika Banks, director of the Fibroid Center at Montefiore Medical Center in New York City. However, she added that 24 months is the longest follow-up available on UAE, and the procedure can cause premature ovarian failure and hasten menopause.

"There are many options, and women with fibroids should see a gynecologist who specializes in all of the options and who works with a radiologist. Not every single option is right for every woman. With your doctor, weigh the risks and benefits of each option, considering your own situation," Banks advised.

"Fibroids significantly impact on women's mental and physical health, and any treatment can improve their overall outlook. In this study, patients with fibroids had a significant improvement in quality of life with either treatment. Having a choice and the proper knowledge to make the decision can lead to a better outcome overall," Romano said.

More information

To learn more about fibroids and the available treatment options, visit the National Women's Health Information Center.



SOURCES: William Romano, M.D., interventional radiologist and program director, interventional radiology fellowship, Beaumont Hospital, Royal Oak, Mich.; Erika Banks, M.D., director, obstetrics and gynecology and the Fibroid Center, Montefiore Medical Center, and associate professor, Albert Einstein College of Medicine, New York City; March 2008 Radiology


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Interactive Patient Television Drives Patient Satisfaction, LodgeNet Healthcare Study Shows
2. iCAD Ranks #1 in Mammography CAD User Satisfaction
3. DrScore.com Releases Annual Report Card on Patient Satisfaction in the U.S.
4. Emory Healthcare Uses SciHealth to Improve Patient Satisfaction
5. Equal level of commitment and relationship satisfaction found among gay and heterosexual couples
6. Dividing lip zones to be injected for augmentation may help increase patient satisfaction
7. Circumcision doesnt reduce sexual satisfaction and performance, says study of 4,500 men
8. Capital BlueCross HMO Plan is Ranked No. 1 in Pennsylvania for Member Satisfaction
9. Live kidney donors report high satisfaction rates and minimal health problems
10. VSP Vision Care Recognized for World Class Customer Satisfaction
11. ICU survival determines familys satisfaction with care
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Satisfaction After Fibroid Embolization Similar to Hysterectomy
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of a ... “The Journey: From the Mountains to the Mission Field” is the creation of published ... all ages and currently teaches a class of ladies at her church, which she ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of ... announced today its plans to open a flagship location in Covington, LA at 401 ... Rooms To Go store next to Office Depot in the Holiday Square shopping center. ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... in post-acute health care, have expanded their existing home health joint venture through ... AccentCare has been operating a joint venture home health company with Asante, delivering ...
(Date:10/12/2017)... Washington, D.C. (PRWEB) , ... October 12, 2017 , ... ... of their peers in Washington, D.C., for the 49th Congress of the International ... Ph.D ., Vice President of the Center for Cancer and Blood Disorders ...
(Date:10/12/2017)... ... October 12, 2017 , ... In ... taxes a year. In some states—like New York, New Jersey, Massachusetts, Texas, Virginia, ... overseas retirement havens have extremely low property-tax rates, which contributes to the relatively ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... 2017  Hill-Rom Holdings, Inc. ("Hill-Rom") (NYSE: HRC), today ... Las Piedras, Puerto Rico , where ... Following a comprehensive ... minor structural damage, temporary loss of power and minimal ... completed, manufacturing operations have resumed, and the company expects ...
(Date:10/7/2017)... 6, 2017   Provista, a proven leader ... billion in purchasing power, today announced a new resource ... The Newsroom is the online home for case ... expert bios, news releases, slideshows and events. ... wealth of resources at their fingertips, viewers can also ...
(Date:10/4/2017)... Mass. , Oct. 4, 2017  According to the Centers for ... the end of October . PhysicianOne Urgent Care is helping communities across ... Westchester, NY , by offering no-cost* flu shots through the ... as mandated by certain health insurance regulations. ... The best time to get a flu shot is by the ...
Breaking Medicine Technology: