Comments on: Uterine Artery Embolisation or Hysterectomy For the Treatment of Symptomatic Uterine Fibroids http://www.how-to-avoid-hysterectomy.com/hysterectomy/uterine-artery-embolisation-or-hysterectomy-for-the-treatment-of-symptomatic-uterine-fibroids/ How To Avoid Hysterectomy with Astrology and Energy Healing Tue, 09 Mar 2010 12:25:03 +0000 hourly 1 By: sarah casey http://www.how-to-avoid-hysterectomy.com/hysterectomy/uterine-artery-embolisation-or-hysterectomy-for-the-treatment-of-symptomatic-uterine-fibroids/comment-page-1/#comment-356 sarah casey Sat, 27 Feb 2010 19:40:04 +0000 http://www.how-to-avoid-hysterectomy.com/?p=82#comment-356 thanks for useful information and the citations. approximately 230,000 hysterectomies for fibroids are done annually in the USA alone. However other alternative treatments exist and some are successfully based on the fibroids. A <a href="http://bit.ly/cYCFyQ" rel="nofollow">full report in the WSJ</a> about a minimally invasive technique that uses heat energy to ablate the fibroid tissue laparoscopically. A <a href="http://bit.ly/bWm6rn" rel="nofollow">phase 3 clinical trial </a>is underway at 7 sites to test the efficacy of this treatment. More details on the sites, the procedure and how to enroll are provided at the link above. Hope this is helpful thanks for useful information and the citations. approximately 230,000 hysterectomies for fibroids are done annually in the USA alone. However other alternative treatments exist and some are successfully based on the fibroids. A full report in the WSJ about a minimally invasive technique that uses heat energy to ablate the fibroid tissue laparoscopically. A phase 3 clinical trial is underway at 7 sites to test the efficacy of this treatment. More details on the sites, the procedure and how to enroll are provided at the link above. Hope this is helpful

]]> By: Dusko Savic http://www.how-to-avoid-hysterectomy.com/hysterectomy/uterine-artery-embolisation-or-hysterectomy-for-the-treatment-of-symptomatic-uterine-fibroids/comment-page-1/#comment-91 Dusko Savic Fri, 13 Jun 2008 04:42:24 +0000 http://www.how-to-avoid-hysterectomy.com/?p=82#comment-91 Thank you for this list of official reports on UAE. A very interesting list for anyone considering this procedure! Thank you for this list of official reports on UAE. A very interesting list for anyone considering this procedure!

]]> By: Nora W. Coffey http://www.how-to-avoid-hysterectomy.com/hysterectomy/uterine-artery-embolisation-or-hysterectomy-for-the-treatment-of-symptomatic-uterine-fibroids/comment-page-1/#comment-81 Nora W. Coffey Sun, 08 Jun 2008 12:12:40 +0000 http://www.how-to-avoid-hysterectomy.com/?p=82#comment-81 A hysterectomy is never needed for fibroids unless you have the wrong doctor. Myomectomy (surgical removal of fibroids leaving the uterus intact) can be performed regardless of the number, location, and size of fibrods, if the doctor has the skill. If the gynecologist doesn't have the skill, they can't perform a myomectomy. Rather than tell women they lack the necessary skill to perform a myomectomy many doctors tell women it's not possible for them to have a myomectomy because their fibroids are too large, in a bad location in the uterus or pelvis, or they have too many of them. Uterine artery embolization (UAE, sometimes called uterine fibroid embolization (UFE) has left many women with serious, permanent problems including migration of the embolic material to other organs and other parts of the vascular system including the lungs, vagina, labia, clitoris, bladder, bowel, buttocks, and kidney, chronic pain in the legs making walking difficult or impossible, infertility, cessation of menstruation, infection requiring removal of the uterus and ovaries, and death. In addition to the study recommended on this blog there are several informative articles including: Fibroid Embolisation: A Technique Not Without Significant Complications A. Vashisht, J.W.W. Studd, A.H. Carey, J. McCall, P.R. Burn, J.C. Healy and J.R. Smith British Journal of Obstetrics and Gynecology September 2000; 107: p.1166-1170 Fatal Sepsis after Uterine Artery Embolization with Microspheres Sjoerd de Blok, MD, PhD, Cees de Vries, MD, Helma M. Prinssen, MD, Hans L.G. Blaauwgeers, MD and Lorine B. Jorna-Meijer, MD Journal of Vascular and Interventional Radiology Vol. 14 No. 6 June 2003: p.779-783 Fatal Septicaemia after Fibroid Embolisation Arvind Vashisht, John Studd, Adam Carey, Paul Bum The Lancet July 24, 1999; 354 (9175): p.307-308 Pelvic Sepsis Complicating Embolization of a Uterine Fibroid Stephen Robson, Kay Wilson, David Munday and Ruben Sebben The Austrailan and New Zealand Journal of Obstetrics and Gynaecology 1999; 39: 4: p. 516-7 Buttock Necrosis After Uterine Artery Embolization Danielle M. Dietz, MD, Kurt R. Stahlfeld, MD, Surendra K. Bansal, MD, and Wayne A. Christopherson, MD Obstetrics & Gynecology November 2004; Vol. 104, No. 5, Part 2: p.1159-1161 Uterine Necrosis after Uterine Artery Embolization for Leiomyoma Claire D. Godfrey, MD and Edward A. Zbella, MD Obstetrics and Gynecology November 2001; 98(5 Part 2): p.950-952 Uterine Necrosis After Arterial Embolization for Postpartum Hemorrhage J.P. Cottier, MD, A. Fignon, MD, F. Tranquart, MD, PhD, and D. Herbreteau, MD Obstetrics and Gynecology Vol. 100 No. 5, Part 2, November 2002: p.1074-7 Labial Necrosis After Uterine Artery Embolization for Leiomyomata Thomas J. Yeagley, Jay Goldberg, Thomas A. Klein, and Joseph Bonn Obstetrics and Gynecology 2002; 100:881-2 Massive vault necrosis with bladder fistula after uterine artery embolisation Amr H. El-Shalakany, Mohammad H. Nasr El-Din, Gamal A. Wafa, Mohammad E. Azzam, Ahmad El-Dorry British Journal of Gynecology February 2003, Vol. 110 pp. 215-216 Ischemic Uterine Rupture and Hysterectomy 3 Months after Uterine Artery Embolization Abraham R. Shashoua, M.D., Nelson H. Stringer, M.D., Julie B. Pearlman, M.D., Behnaz Behmaram, M.D. The Journal of the American Association of Gynecologic Laparoscopists May 2002; 9(2): p.217-220 Massive Vaginal Hemorrhage after Uterine Fibroid Embolization Robert K. Kerlan Jr, James O. Coffey, Marilyn S. Milkman, Jeanne M. LaBerge, Mark W. Wilson, Kristen A. Cea Wolanske, and Roy L. Gordon Journal of Vascular & Interventional Radiology 2003; 14:1465-1467 Sexual Dysfunction after Uterine Artery Embolization A.C. Lai, S.C. Goodwin, S.M. Bonilla, A.P. Lai, T. Yegul, S. Vott, and M. DeLeon Journal of Vascular & Interventional Radiology June 2000; 11(6): p.755-8 Vesicouterine fistula after uterine artery embolization: A case report Carmen J. Sultana, MD, Jay Goldnerg, MD, Laura Aizenman, MD, and Joanna K. Chon, MD American Journal of Obstetrics and Gynecology 2002; 187(6): p.1726-7 Ovarian Failure after Uterine Artery Embolization for Treatment of Myomas N.H. Stringer, T. Grant, J. Park, and L. Oldham Journal American Association of Gynecologist Laparoscopists August 2000; 7(3): p.395-400 Embolic Microspheres Within Ovarian Arterial Vasculature After Uterine artery Embolization John F. Payne, MD, Stanley J. Robboy, MD, and A. F. Haney, MD Obstetrics & Gynecology Vol. 100, No. 5, Part 1 November 2002: p.883-6 The Vascular Impact of Uterine Artery Embolization: Prospective Sonographic Assessment of Ovarian Arterial Circulation Robert K. Ryu, MD, Howard B. Chrisman, MD, Reed A. Omary, MD, MS, Simka Miljkovic, RDMS, Albert A. Nemcek, Jr, MD, Mark B. Saker, MD, Scott Resnick, MD, James Carr, MD, and Robert L. Vogelzang, MD Journal of Vascular and Interventional Radiology September 2001; 12(9): p.1071-1074 The Future Interventional Radiologist: Clinician or Hired Gun? Mark O. Baerlocher, BSc, and Murray R. Asch, MD, FRCPC Journal of Vascular & Interventional Radiology December 2004; 15:1385-1390 Transarterial Embolization of the Uterine Arteries: Patient Reactions and Effects on Uterine Vasculature Adel Aziz, Oswald M. Petrucco, Satoru Makinoda, Gunnar Wikholm, Paul Svendsen, Mats Brannstrom and Per Olof Janson Acta Obstetricia et Gynecologica of Scandinavica March 1998; 77(3): p.334-340 Pathologic Features of Uteri and Leiomyomas Following Uterine Artery Embolization for Leiomyomas Terence J. Colgan, Gaylene Pron, Eva J. M. Mocarski, John D. Bennett, Murray R. Asch, and Andrew Common The American Journal of Surgical Pathology 27(2); 167-177, 2003 Patient Radiation Dose Associated With Uterine Artery Embolization B. Nikolic, J.B. Spies, M.J. Lundsten, and S. Abbara Radiology Jan. 2000, 214(1): p.121-125 Influence of Radiographic Technique and Equipment on Absorbed Ovarian Dose Associated with Uterine Artery Embolization B. Nikolic, S. Abbara, E. Levy, I. Imaoka, M.L. Lundsten, R.C. Jha, and J.B. Spies Journal of Vascular & Interventional Radiology October 2000; 11(9): p.1173-1178 Permanent amenorrhea associated with endometrial atrophy after uterine artery embolization for symptomatic uterine fibroids Giovanna Tropeano, MD et al Fertility and Sterility January 2003 Vol. 79, No. 1 Embolization of the Internal Iliac Artery: Still More to Learn Michael C. Soulen, Ronald M. Fairman and Richard Baum Journal of Vascular & Interventional Radiology May 2000;11(5): p.543-545 The Positive Effect of Targeted Marketing on an Existing Uterine Fibroid Embolization Practice Howard B. Chrisman, MD, MBA, Pat Auveek Basu, MD, MBA, and Reed A. Omary, MD Journal of Vascular Interventional Radiology March 2006; 17:577-581 Let the reader beware. A hysterectomy is never needed for fibroids unless you have the wrong doctor. Myomectomy (surgical removal of fibroids leaving the uterus intact) can be performed regardless of the number, location, and size of fibrods, if the doctor has the skill. If the gynecologist doesn’t have the skill, they can’t perform a myomectomy. Rather than tell women they lack the necessary skill to perform a myomectomy many doctors tell women it’s not possible for them to have a myomectomy because their fibroids are too large, in a bad location in the uterus or pelvis, or they have too many of them.

Uterine artery embolization (UAE, sometimes called uterine fibroid embolization (UFE) has left many women with serious, permanent problems including migration of the embolic material to other organs and other parts of the vascular system including the lungs, vagina, labia, clitoris, bladder, bowel, buttocks, and kidney, chronic pain in the legs making walking difficult or impossible, infertility, cessation of menstruation, infection requiring removal of the uterus and ovaries, and death.

In addition to the study recommended on this blog there are several informative articles including:

Fibroid Embolisation: A Technique Not Without Significant Complications

A. Vashisht, J.W.W. Studd, A.H. Carey, J. McCall, P.R. Burn, J.C. Healy and J.R. Smith
British Journal of Obstetrics and Gynecology
September 2000; 107: p.1166-1170

Fatal Sepsis after Uterine Artery Embolization with Microspheres

Sjoerd de Blok, MD, PhD, Cees de Vries, MD, Helma M. Prinssen, MD, Hans L.G. Blaauwgeers, MD and Lorine B. Jorna-Meijer, MD
Journal of Vascular and Interventional Radiology
Vol. 14 No. 6 June 2003: p.779-783

Fatal Septicaemia after Fibroid Embolisation

Arvind Vashisht, John Studd, Adam Carey, Paul Bum
The Lancet
July 24, 1999; 354 (9175): p.307-308

Pelvic Sepsis Complicating Embolization of a Uterine Fibroid

Stephen Robson, Kay Wilson, David Munday and Ruben Sebben
The Austrailan and New Zealand Journal of Obstetrics and Gynaecology
1999; 39: 4: p. 516-7

Buttock Necrosis After Uterine Artery Embolization

Danielle M. Dietz, MD, Kurt R. Stahlfeld, MD, Surendra K. Bansal, MD, and Wayne A. Christopherson, MD
Obstetrics & Gynecology
November 2004; Vol. 104, No. 5, Part 2: p.1159-1161

Uterine Necrosis after Uterine Artery Embolization for Leiomyoma

Claire D. Godfrey, MD and Edward A. Zbella, MD
Obstetrics and Gynecology
November 2001; 98(5 Part 2): p.950-952

Uterine Necrosis After Arterial Embolization for Postpartum Hemorrhage

J.P. Cottier, MD, A. Fignon, MD, F. Tranquart, MD, PhD, and D. Herbreteau, MD
Obstetrics and Gynecology
Vol. 100 No. 5, Part 2, November 2002: p.1074-7

Labial Necrosis After Uterine Artery Embolization for Leiomyomata

Thomas J. Yeagley, Jay Goldberg, Thomas A. Klein, and Joseph Bonn
Obstetrics and Gynecology
2002; 100:881-2

Massive vault necrosis with bladder fistula after uterine artery embolisation

Amr H. El-Shalakany, Mohammad H. Nasr El-Din, Gamal A. Wafa, Mohammad E. Azzam, Ahmad El-Dorry
British Journal of Gynecology
February 2003, Vol. 110 pp. 215-216

Ischemic Uterine Rupture and Hysterectomy 3 Months after Uterine Artery Embolization

Abraham R. Shashoua, M.D., Nelson H. Stringer, M.D., Julie B. Pearlman, M.D., Behnaz Behmaram, M.D.
The Journal of the American Association of Gynecologic Laparoscopists
May 2002; 9(2): p.217-220

Massive Vaginal Hemorrhage after Uterine Fibroid Embolization

Robert K. Kerlan Jr, James O. Coffey, Marilyn S. Milkman, Jeanne M. LaBerge, Mark W. Wilson, Kristen A. Cea Wolanske, and Roy L. Gordon
Journal of Vascular & Interventional Radiology
2003; 14:1465-1467

Sexual Dysfunction after Uterine Artery Embolization

A.C. Lai, S.C. Goodwin, S.M. Bonilla, A.P. Lai, T. Yegul, S. Vott, and M. DeLeon
Journal of Vascular & Interventional Radiology
June 2000; 11(6): p.755-8

Vesicouterine fistula after uterine artery embolization: A case report

Carmen J. Sultana, MD, Jay Goldnerg, MD, Laura Aizenman, MD, and Joanna K. Chon, MD
American Journal of Obstetrics and Gynecology
2002; 187(6): p.1726-7

Ovarian Failure after Uterine Artery Embolization for Treatment of Myomas

N.H. Stringer, T. Grant, J. Park, and L. Oldham
Journal American Association of Gynecologist Laparoscopists
August 2000; 7(3): p.395-400

Embolic Microspheres Within Ovarian Arterial Vasculature After Uterine artery Embolization

John F. Payne, MD, Stanley J. Robboy, MD, and A. F. Haney, MD
Obstetrics & Gynecology
Vol. 100, No. 5, Part 1 November 2002: p.883-6

The Vascular Impact of Uterine Artery Embolization: Prospective Sonographic Assessment of Ovarian Arterial Circulation

Robert K. Ryu, MD, Howard B. Chrisman, MD, Reed A. Omary, MD, MS, Simka Miljkovic, RDMS, Albert A. Nemcek, Jr, MD, Mark B. Saker, MD, Scott Resnick, MD, James Carr, MD, and Robert L. Vogelzang, MD
Journal of Vascular and Interventional Radiology
September 2001; 12(9): p.1071-1074

The Future Interventional Radiologist: Clinician or Hired Gun?

Mark O. Baerlocher, BSc, and Murray R. Asch, MD, FRCPC
Journal of Vascular & Interventional Radiology
December 2004; 15:1385-1390

Transarterial Embolization of the Uterine Arteries: Patient Reactions and Effects on Uterine Vasculature

Adel Aziz, Oswald M. Petrucco, Satoru Makinoda, Gunnar Wikholm, Paul Svendsen, Mats Brannstrom and Per Olof Janson
Acta Obstetricia et Gynecologica of Scandinavica
March 1998; 77(3): p.334-340

Pathologic Features of Uteri and Leiomyomas Following Uterine Artery Embolization for Leiomyomas

Terence J. Colgan, Gaylene Pron, Eva J. M. Mocarski, John D. Bennett, Murray R. Asch, and Andrew Common
The American Journal of Surgical Pathology
27(2); 167-177, 2003

Patient Radiation Dose Associated With Uterine Artery Embolization

B. Nikolic, J.B. Spies, M.J. Lundsten, and S. Abbara
Radiology
Jan. 2000, 214(1): p.121-125

Influence of Radiographic Technique and Equipment on Absorbed Ovarian Dose Associated with Uterine Artery Embolization

B. Nikolic, S. Abbara, E. Levy, I. Imaoka, M.L. Lundsten, R.C. Jha, and J.B. Spies
Journal of Vascular & Interventional Radiology
October 2000; 11(9): p.1173-1178

Permanent amenorrhea associated with endometrial atrophy after uterine artery embolization for symptomatic uterine fibroids

Giovanna Tropeano, MD et al
Fertility and Sterility
January 2003 Vol. 79, No. 1

Embolization of the Internal Iliac Artery: Still More to Learn

Michael C. Soulen, Ronald M. Fairman and Richard Baum
Journal of Vascular & Interventional Radiology
May 2000;11(5): p.543-545

The Positive Effect of Targeted Marketing on an Existing Uterine Fibroid Embolization Practice

Howard B. Chrisman, MD, MBA, Pat Auveek Basu, MD, MBA, and Reed A. Omary, MD
Journal of Vascular Interventional Radiology
March 2006; 17:577-581

Let the reader beware.

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