quality of life after embolization vs hysterectomy in adenomyosis
Du H, Taylor HS. In this context, Andersen et al. official website and that any information you provide is encrypted Springer International Publishing, pp 1281 10.1007/978-3-319-10305-1. Atri M, Reinhold C, Mehio AR, Chapman WB, Bret PM. Kim MD, Kim YM, Kim HC, et al. This questionnaire comprises 36 items and eight subscales, namely physical functioning, physical role (body), bodily pain, general health, vitality, social function (mental), emotional role, and mental health. Management of uterine adenomyosis: current trends and uterine artery BMC Women's Health Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. BIR Publications Wallwiener M, Taran F-A, Rothmund R, et al. Long L, Chen J, Xiong Y, et al. Special attention is paid to visualization of the cervicovaginal and ovarian artery branches (Fig. Google Scholar. 2021 Jul 15;14:3575-3581. doi: 10.2147/IJGM.S312618. Myoma Expulsion after Uterine Artery Embolization - Hindawi Objective: Direct features are due to the presence of endometrial tissue within the myometrium, and indirect features are due to a hypertrophied myometrium as described by Atri et al. -, Bird CC, McElin TW, Manalo-Estrella P. The elusive adenomyosis of the uterus--revisited. Yasushi Kotani. However, randomized controlled trials are lacking. Hysteroscopic resection/ablation is a combined treatment method involving the dissection and or coagulation of cystic adenomyotic lesions and crypts [7882]. Arterial embolisation to treat uterine myomata. Quality of life after laparoscopic hysterectomy versus abdominal Feasibility of MRI-guided high intensity focused ultrasound treatment for adenomyosis. An official website of the United States government. By using this website, you agree to our Few prospective studies have evaluated the diagnostic accuracy of MRI in the diagnosis of adenomyosis [15, 16, 48]. Bazot M. Pathologie Myometriale. Quality of life after photo-selective vaporization and holmium-laser High-intensity focused ultrasound has been used since 2008 for the treatment of adenomyosis [84]. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Article Yuan K, Zhang JL, Yan JY, Yuan B, Fu JX, Wang Y, Sun XD, Guan Y, Duan F, Wang MQ. Also, newer drugs, such as aromatase inhibitors, have been investigated by Badawy et al. Uterine Artery Embolization Versus Hysterectomy in the Treatment of In: Nahum H, editor. A preliminary report of the transverse H incision technique. Dartmouth K. A systematic review with meta-analysis: the common sonographic characteristics of adenomyosis. Nevertheless, many drawbacks still need to be addressed. But it's the last resort after other treatments haven't been effective enough. The technique for UAE in adenomyosis is similar to that used in fibroids. These are second-line treatment options aiming to cure symptoms and preserve the uterus in patients with failed medical therapy. Saremi A, Bahrami H, Salehian P, Hakak N, Pooladi A, Bahrami H. Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique. Mochimaru A, Aoki S, Oba MS, Kurasawa K, Takahashi T, Hirahara F. Adverse pregnancy outcomes associated with adenomyosis with uterine enlargement. Transvaginal ultrasound (TVS) represents a cost-effective initial screening modality for adenomyosis. 2021 Jun 9;10:Doc07. Since then, several studies have illustrated high sensitivities and specificities for both two-dimensional transvaginal sonography (TVS) and magnetic resonance imaging (MRI) [1317]. Prevalence of adenomyosis in women undergoing surgery for endometriosis. The authors declare that they have no competing interests. Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology. This consequently results in a management dilemma, particularly in symptomatic patients who wish to preserve their uterus [18]. Non-excisional treatments aim to induce necrosis of focal or diffuse adenomyosis through selective vascular occlusion or focused ultrasound/thermal energy without direct tissue dissection. 1972 Mar;112(5):58393. Uterine artery embolization for the treatment of adenomyosis: a systematic review and meta-analysis. Diffuse adenomyosis: comparison of endovaginal US and MR imaging with histopathologic correlation. Careers. This is achieved by disrupting pathways leading to inflammation, neuroangiogenesis, and impaired apoptosis [61]. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Although pathogenesis and etiology of adenomyosis remain unknown, two main theories have been proposed: invagination of the endometrial basal layer and metaplasia of embryonic stem cells [3]. In this study, the results were obtained from different hospitals, but the conditions were matched to be closer to each other. Trial registration: Inclusion criteria were premenopausal women with symptomatic pure adenomyosis or dominant adenomyosis when both adenomyosis and fibroids coexist and women with an indication for hysterectomy (either failed or refused medical treatment). The type of hysterectomy was categorized as either open surgery (i.e., AH) or LH. Adenomyosis at hysterectomy: a study on frequency distribution and patient characteristics. [Change in health-related quality of life and change in clinical Vannuccini S, Tosti C, Carmona F, et al. In this study, the clinical pathway determined that LH cases should be discharged 34days after surgery and after eight days for AH cases; the majority of patients were discharged accordingly. Fukunishi H, Funaki K, Sawada K, Yamaguchi K, Maeda T, Kaji Y. Uterine artery embolization to treat uterine adenomyosis with or without uterine leiomyomata: results of symptom control and health-related quality of life 40 months after treatment. Am J Obstet Gynecol. This retrospective study was conducted at Kindai University Hospital and Kindai University Nara Hospital, with the approval of the Ethics Committee. PubMedGoogle Scholar. 2012; 35 (3):523-529. doi: 10.1007/s00270-011-0254-3 [Google Scholar] Obstet Gynecol. Quality of life after randomization to laparoscopic versus open living donor nephrectomy: long-term follow-up. Kamio M, Taguchi S, Oki T, et al. In the present study, we compared self-reported health-related postoperative QOL between patients who underwent LH or AH for uterine fibroids. 2). Lack of evidence needed to base choice of drugs also raises the need to perform research into the comparative efficacy of currently used drugs and develop a more standardized approach for patients wanting to conceive while using medication. Surgical approach to hysterectomy for benign gynaecological disease. official website and that any information you provide is encrypted [7] reported postoperative QOL in malignant uterine cancer using the Functional Assessment of Cancer Therapy-General (FACT-G) to compare laparoscopic and abdominal surgery for stage I endometrial cancer. Objective: The purpose of this study was to compare clinical outcome and health related quality of life 10-years after uterine artery embolization or hysterectomy in the treatment of. Following the procedure (UAE or hysterectomy), patients are followed up immediately, then at 6weeks, 3months, 6months, 12months, and 24months using an online questionnaire system. Uterine artery embolization is the use of transarterial catheters aiming to induce more than 34% necrosis within adenomyotic tissues [99, 100]. Your privacy choices/Manage cookies we use in the preference centre. However, randomized controlled trials are lacking. ArchGynecolObstet. Because it removes the uterus completely, a hysterectomy is a definitive cure for adenomyosis. The results were compared between the two groups. On the other hand, the Gynecologic Oncology Group (GOG) 2222 (LAP-2) study compared laparoscopic versus abdominal surgery using the FACT-G v. 3.0. Bookshelf However, randomized controlled trials are lacking. Primary outcomes (quality of life) were measured at 6, 12, and 24months using a combination of World Health Organization Quality of Life Scale and Short Form-12 Questionnaires. Ota H, Hatazawa J, Igarashi S, Tanaka T. Is adenomyosis an immune disease? Shui L, Mao S, Wu Q, et al. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Gordts S, Grimbizis G, Campo R. Symptoms and classification of uterine adenomyosis, including the place of hysteroscopy in diagnosis. All authors read and approved the final manuscript. Their study tracked the QOL of cancer patients in the short and long term over a 1-year postoperative period, finding laparoscopic surgery to be advantageous compared with open surgery. (These two hospitals are located in different geographical areas and have different medical specializations.). 2023 BioMed Central Ltd unless otherwise stated. Patient data includes the following, Study flowchart. Uterine artery embolization using a transradial approach: initial experience and technique. Zhou J, He L, Liu P, et al. Hysteroscopic resections can be performed using yttrium aluminum garnet (YAG) laser, rollerball resection, thermal balloon ablation, cryoablation, circulated hot fluid ablation, microwave ablation, bipolar radiofrequency ablation, and electrocoagulation [19]. Polina L, Nyapathy V, Mishra A, Yellamanthili H, Vallabhaneni MP. Cochrane Database Syst Rev. Epub 2017 May 17. de Bruijn AM, Ankum WM, Reekers JA, Birnie E, van der Kooij SM, Volkers NA, Hehenkamp WJ. The evaluation of uterine artery embolization as a nonsurgical treatment option for adenomyosis. Uterine fibroids are a typical benign gynecological disease in sexually mature women, and total hysterectomy is the treatment of choice for symptomatic patients. Adenomyosis: three-dimensional sonographic findings of the junctional zone and correlation with histology. Meredith SM, Sanchez-Ramos L, Kaunitz AM. Uterine Artery Embolization for the Treatment of Adenomyosis: A Google Scholar. Janda M, Gebski V, Brand A, Hogg R, Jobling TW, Land R, et al. These symptoms are commonly encountered in other gynecological disorders including leiomyomas and endometriosis, often confounding the clinical diagnosis [12]. The authors declare that they have no competing interests. 2021 Jul 30;10(15):3410. doi: 10.3390/jcm10153410. With a better understanding of pathogenetic mechanisms of adenomyosis, advances in drug development will soon be possible [55]. Recent research shows an enhancement in quality of life during the early years after hysterectomy. Nabeshima H, Murakami T, Terada Y, Noda T, Yaegashi N, Okamura K. Total laparoscopic surgery of cystic adenomyoma under hydroultrasonographic monitoring. Several uterine-sparing treatment options are now available, including medication, hysteroscopic resection or ablation, conservative surgical methods, and high-intensity focused ultrasound each with its own risks and benefits. Ultrasound-guided high-intensity focused ultrasound treatment for uterine fibroid & adenomyosis: a single center experience from the Republic of Korea. Statistical analysis was performed using Students t-test to compare the mean values between the two groups and the 2 test to compare proportions. Purpose: To prospectively evaluate health-related quality of life (HRQOL) outcomes for uterine artery embolization (UAE) and hysterectomy up to 24 months after the intervention in terms of mental and physical health, urinary and defecatory function, and overall patient satisfaction. Uterine fibroid embolization led to a shrinkage at three months for the 90% of the participants. doi: 10.1016/j.diii.2012.10.012. In: Habiba M, Benagiano G, editors. Is the surgical approach beneficial to subfertile women with symptomatic extensive adenomyosis? In addition, transvaginal ultrasound (TVUS) and MRI will be performed at regular intervals after UAE. Grimbizis GF, Mikos T, Tarlatzis B. Uterus-sparing operative treatment for adenomyosis. Embolization versus Hysterectomy: HRQOL: Health-Related Quality of Life: MRI: magnetic resonsnce imaging: PMMA: polymethylmethacrylate: QUESTA: Quality of Life after Embolization vs Hysterectomy in Adenomyosis: SF-12: Short Form-12: TLH: total laparoscopic hysterectomy: TVUS: transvaginal ultrasound: UAE: uterine artery embolization: VH . Among the main treatment strategies, there are hormone therapy, hysterectomy, myomectomy, and uterine artery embolization (UAE), a recent and promising treatment for patients who wish to avoid hysterectomy. The datasets used and/or analysed during the current study available from the corresponding author on reasonable request. Uterine artery embolization (UAE) in patients with symptomatic adenomyosis has demonstrated to reduce symptoms and improve quality of life. Download .nbib Outcomes in adenomyosis treated with uterine artery embolization are associated with lesion vascularity: a long-term follow-up study of 252 cases. Epub 2016 Jul 5. Parazzini F, Mais V, Cipriani S, Busacca M, Venturini P, GISE Determinants of adenomyosis in women who underwent hysterectomy for benign gynecological conditions: results from a prospective multicentric study in Italy. Imaging outcomes were also determined to identify potential predictive parameters for therapy effect using specific TVUS criteria (uterine size/fibroid volume reduction in case of associated fibroids, vascular index by 3D power Doppler) at baseline, 6weeks, and 6months and MRI criteria (uterine size/fibroid volume reduction in case of associated fibroids, junctional zone reduction, infarction rate, and presence of endometriosis) at baseline and at 6months postprocedure [101]. FOIA Bethesda, MD 20894, Web Policies 2021. Taran FA, Stewart EA, Brucker S. Adenomyosis: epidemiology, risk factors, clinical phenotype and surgical and interventional alternatives to hysterectomy. [20] then later established as an effective treatment option for patients with symptomatic uterine fibroids [21, 22]. Quality of life after allogeneic hematopoietic cell transplantation Eisenberg VH, Arbib N, Schiff E, Goldenberg M, Seidman DS, Soriano D. Sonographic signs of adenomyosis are prevalent in women undergoing surgery for endometriosis and may suggest a higher risk of infertility. Direct and indirect imaging features of adenomyosis on ultrasound. Purpose of Review This review will examine the use of uterine artery embolization (UAE) for the management of adenomyosis (AUB-A) and evaluate its advantages and disadvantages. Here, the general health scores were significantly higher for LH through 6months, whereas the mental health and vitality scores showed no significant differences at any time-point. Online ahead of print. Important factors to be considered and discussed with patients are age, symptom severity, desire for future conception, and associated comorbidities [32, 54, 55]. The precise etiology and pathophysiology leading to the development of adenomyosis remains undetermined. 1Radiology Department, Faculty of Medicine, Zagazig University, Koliat Al Tob Street, Zagazig, 44519 Egypt, 2Radiology Department, Al-Ahrar Teaching Hospital, Zagazig, Egypt. Andres MP, Borrelli GM, Ribeiro J, Baracat EC, Abro MS, Kho RM. statement and Eligible patients are symptomatic premenopausal women without the desire to conceive and who have symptomatic magnetic resonance imaging (MRI)-confirmed pure adenomyosis or dominant adenomyosis accompanied by fibroids.
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quality of life after embolization vs hysterectomy in adenomyosis
