The applicability of nonsurgical treatments for benign diseases continues to be the focus of investigations in obstetric and gynecologic diseases. An understanding of the pelvic vascular anatomy is mandatory for safe and effective vascular interventions. Massive vaginal bleeding resulting from postpartum hemorrhage, uterine arteriovenous malformation, and uterine cervical carcinoma can be managed by endovascular treatment. Uterine artery embolization (UAE) has emerged as a viable treatment option for patients with symptomatic fibroids. Recovery and time to return to work is weeks shorter than recovery from surgery. UAE is also effective in the management of symptomatic adenomyosis as the primary treatment and as an alternative to hysterectomy despite the possibility of symptom recurrence. Pelvic congestion syndrome as a source of chronic pelvic pain can be effectively treated with embolization of the ovarian vein using coils with or without sclerosing agents. With the introduction of microcatheter technology and accumulation of clinical experience regarding the transcatheter arterial management of various diseases in other parts of the body, there is signi ficant recent progress in the endovascular management of obstetric and gynecologic diseases. The results of recent investigations say that embolotherapy can be a safe and effective alternative to surgical options in the management of uterine myomas, pregnancy-related hemorrhage, and uterine arteriovenous malformations (AVMs). The embolization of either ovarian and/or internal iliac veins is a useful nonsurgical option for pelvic congestion syndrome. Intra-arterial infusion chemotherapy can be tried for uterine cervical carcinoma.
|Title of host publication||Radiology Illustrated|
|Subtitle of host publication||Gynecologic Imaging, Second Edition|
|Publisher||Springer Berlin Heidelberg|
|Number of pages||6|
|Publication status||Published - 2012 Jan 1|
Bibliographical notePublisher Copyright:
© Springer-Verlag Berlin Heidelberg 2012.
All Science Journal Classification (ASJC) codes
- Biochemistry, Genetics and Molecular Biology(all)