OBJECTIVE: To assess the reproductive outcomes after laparoscopic uterine artery occlusion (LUAO) and uterine artery embolization (UAE) in women with symptomatic fibroids. DESIGN: Prospective, clinical multicentric study. SETTING: Endoscopic center in the department of obstetrics and gynecology at a hospital in the Czech Republic. PATIENT(S): Thirty-eight pregnant women after LUAO and 20 pregnant women after UAE. INTERVENTION(S): Laparoscopic uterine artery occlusion and UAE. MAIN OUTCOME MEASURE(S): Pregnancy, abortion, preterm delivery, and live-birth rates. RESULT(S): Pregnancies after uterine embolization had a statistically significantly higher rate for spontaneous abortion (56%) than did pregnancies after surgical uterine artery occlusion (10.5%). The risk of malpresentation (20%) and the rate for cesarean section (80%) after UAE similarly were higher than was the risk after laparoscopic occlusion; however, these differences were not statistically significant. Also, there were no significant differences between the groups in preterm deliveries (15.3% in the LUAO group vs. 20% in the UAE group). CONCLUSION(S): Pregnancies of women who were treated with uterine embolization were at significantly increased risk for spontaneous abortion when compared with pregnancies of women treated with LUAO.
OBJECTIVE: To assess the reproductive outcomes after laparoscopic uterine artery occlusion (LUAO) and uterine artery embolization (UAE) in women with symptomatic fibroids. DESIGN: Prospective, clinical multicentric study. SETTING: Endoscopic center in the department of obstetrics and gynecology at a hospital in the Czech Republic. PATIENT(S): Thirty-eight pregnant women after LUAO and 20 pregnant women after UAE. INTERVENTION(S): Laparoscopic uterine artery occlusion and UAE. MAIN OUTCOME MEASURE(S): Pregnancy, abortion, preterm delivery, and live-birth rates. RESULT(S): Pregnancies after uterine embolization had a statistically significantly higher rate for spontaneous abortion (56%) than did pregnancies after surgical uterine artery occlusion (10.5%). The risk of malpresentation (20%) and the rate for cesarean section (80%) after UAE similarly were higher than was the risk after laparoscopic occlusion; however, these differences were not statistically significant. Also, there were no significant differences between the groups in preterm deliveries (15.3% in the LUAO group vs. 20% in the UAE group). CONCLUSION(S): Pregnancies of women who were treated with uterine embolization were at significantly increased risk for spontaneous abortion when compared with pregnancies of women treated with LUAO.
Authors: Gary Levy; Micah J Hill; Stephanie Beall; Shvetha M Zarek; James H Segars; William H Catherino Journal: J Assist Reprod Genet Date: 2012-05-15 Impact factor: 3.412
Authors: Dean Helmar Conrad; Tal Dave Saar; Stefaan Pacquée; Mikhail Sarofim; David Rosen; Gregory Cario; Danny Chou Journal: Gynecol Minim Invasive Ther Date: 2018-08-23