Comparison of pregnancy course and outcomes in patients with uterine fibroids following uterine artery embolisation or myomectomy
Year: 2025
Type: article
Study design: Observational Study
Abstract: Aim. To determine the optimal surgical treatment for uterine fibroids in patients with unfulfilled reproductive through the analysis of pregnancy course and outcomes following uterine artery embolization (UAE) and myomectomy. Materials and Methods. The study assessed pregnancy course and outcomes, as well as neonatal conditions, in 147 patients including those who: 1) underwent UAE; 2) underwent myomectomy; 3) had untreated uterine fibroids; 4) did not have uterine fibroids. Data collection was conducted retrospectively by reviewing medical records, including case histories, pregnancy and delivery records, and newborn histories. Results. There have been significant differences in pregnancy complications and delivery methods among the women who received distinct surgical treatments for uterine fibroids (myomectomy vs. UAE). In the third trimester, placental abnormalities were more frequent after UAE (12.5%) that after myomectomy (2.9%) but cesarian delivery was performed twice as low (47.0% vs. 94.3, respectively). Subsequent pregnancy risks were higher among the patients who had undergone myomectomy, as 50% of them experienced fibroid recurrence during the pregnancy and there were scars on the uterus as a result of myomectomy and cesarean section. Conclusion. No new fibroid nodules as well as growth or vascularization of existing fibroids were observed after UAE, suggesting that it can be considered as a preferred treatment option, particularly for women who have not yet completed their reproductive plans.
Authors: V. A. Gurjeva, O. V. Kolyado, O. V. Remneva, Yu. A. Shadeeva
Institution: Altai State Medical University
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408909358