Uterine XXXX for treatment of symptomatic uterine myomas.

@entity1 @entity190 @entity10401 @entity432 @entity282
OBJECTIVE: To compare the effectiveness and safety of uterine @entity432 by laparoscopy versus embolization as a treatment modality for symptomatic uterine fibroids. METHODS: Ninety-six premenopausal @entity1 with symptomatic @entity10401 were studied. None of them desired further pregnancy. They were randomized to treatment either by laparoscopic occlusion (group 1) or by radiologic embolization of uterine arteries (group 2). The primary outcome measure was @entity1 satisfaction as regards menstrual @entity190 compared with pretreatment loss. Secondary outcome measures included @entity282 , complications, secondary interventions, and failures. RESULTS: Ninety @entity1 were followed for 1, 3, 6, and 12 months after both procedures. The primary outcome was comparable between the 2 groups (86.7% after laparoscopic occlusion versus 88.8% after embolization, with no statistically significant difference). After 12 months of follow-up, more @entity1 resumed heavy periods in the uterine @entity432 group [4/45 @entity1 , 8.8% in occlusion group compared with 3/45 (6.6%) in embolization group, P=0.044]. CONCLUSION: Both laparoscopic occlusion and superselective embolization of uterine arteries improved clinical symptoms in the majority of @entity1 . At 12-month follow-up, embolization might be more effective.
