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Int J Gynaecol Obstet. 2005 Nov;91(2):137-40. Epub 2005 Oct 5.

Uterine artery ligation for management of uterine fibroids.

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1
Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

Abstract

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.

PMID:
16168993
DOI:
10.1016/j.ijgo.2005.07.012
[Indexed for MEDLINE]
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