Percutaneous microwave ablation of uterine fibroids: correlation between shrinkage and trend symptoms.

Abstract

PURPOSE:

To assess a correlation between the shrinkage of the fibroid and the course of the symptoms.

MATERIAL AND METHODS:

Fourteen patients with symptomatic uterine leiomyomas (mean fibroid volume: 111.45 cm3) underwent percutaneous microwave ablation. Contrast-enhanced MRI follow-up was performed before and after treatment to evaluate the volume shrinkage. Two scores obtained from the Uterine Fibroids Symptom and Quality of Life questionnaire were used to perform a clinical follow-up to evaluate the symptoms and the quality of life at baseline, and at 3, 6 and 12 months after treatment.

RESULTS:

All patients were treated, no complications occurred. During a mean MR follow-up of 8.1 months we observed shrinkage of the fibroids in all patients (mean 70.3 cm3). During 12 months clinical follow-up, we observed a significant improvement of symptoms and an excellent improvement of quality of life (p < .001).

CONCLUSION:

Uterine fibroids percutaneous microwave ablation is a safe tool to obtain a significant improvement in quality of life for all the patients of our cohort.

• Authors: Anna Maria Ierardi, Mario Petrillo, Enrico Maria Fumarola, Andrea Coppola, Salvatore Alessio Angileri, Enrico Garanzini, Salvatore Silipigni, Filippo Pesapane, Anna Maria Marconi, Gianpaolo Carrafiello
• Journal: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy (Minim Invasive Ther Allied Technol) Vol. 30 Issue 1 Pg. 33-39 (Feb 2021) ISSN: 1365-2931 [Electronic] England
• PMID: 31553249 (Publication Type: Journal Article)

Topics

• Female
• Humans
• Leiomyoma (surgery)
• Microwaves
• Quality of Life
• Treatment Outcome
• Uterine Neoplasms (surgery)