SPECIFIC FEATURES IN THE TREATMENT OF UTERINEFIBROIDS: SURGERY VS UTERINE ARTERYEMBOLIZATION

摘要

UTERINE LEIOMYOMAS OR “UTERINE FIBROIDS” ARE THE MOST COMMON BENIGN UTERINETUMORS IN WOMEN OF REPORDUCTIVE AGE. USUALLY, THEY DEVELOP AS MULTIPLE SMALLTUMORS OR AS LARGE MASSES WITH DIFFERENT LOCATIONS RELATED TO THE LINING OF THEUTERUS. THE PATIENT HAS EITHER NO SYMPTOMS FOR A LONG PERIOD, OR SHE REPORTS HEAVYMENSTRUAL BLEEDING, PELVIC DISCOMFORT OR FERTILITY ISSUES. THERE IS A WIDE NUMBEROF TREATMENT OPTIONS, WHICH MUST BE ADAPTED TO EACH CASE, BUT THE MOST COMMONSOLUTION FOR LARGE SYMPTOMATIC TUMORS IS SURGERY. A NEWER ALTERNATIVE TOHISTERECTOMY OR MIOMECTOMY IS UTERINE ARTERY EMBOLIZATION. EACH OF THESE OPTIONSIS SUITED FOR A CERTAIN TYPE OF PATIENT, ACCORDING TO A SERIES OF CRITERIA. THESEPROCEDURES HAVE THEIR RISKS AND BENEFITS, BUT THE PATIENT IS CONCERNED BY SUCHASPECTS AS: PAIN LEVEL, HOSPITALIZATION PERIOD AND RECOVERY. THE FOLLOWING ARTICLEPRESENTS SPECIFIC ASPECTS ON THIS TOPIC ACCORDING TO OUR EXPERIENCE WITH UTERINEFIBROID TREATMENT IN THE UNIVERSITY EMERGENCY HOSPITAL BUCHAREST.