Preoperative Uterine Artery Embolization for Huge Prolapsed Pedunculated Submucosal Fibroid by Atsushi Imai in BJSTR
Abstract
Uterine fibroids (myomas) are very common affecting more
than 60% of women over the age of 45 years [1,2]. Although many
fibroids are asymptomatic, some may cause exhausting symptoms
including heavy menstrual bleeding and pelvic pain. Submucosal
fibroids, in particular pedunculated fibroids prolapsed into the
vagina, are associated with heavy uterine bleeding and subsequent
heavy anemia. The management of prolapsed pedunculated fibroid
is determined by the origin and thickness of the pedicle, size, and
its location. Uterine artery embolization (UAE) is increasingly
being applied as a minimally invasive treatment alternative to
surgery for the reduction of uterine fibroid symptoms [3]. UAEinduced
depletion of blood flow through the whole myometrium
and endometrium may be a useful adjunct to surgery for massive
fibroids to reduce intraoperative blood loss [4].

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