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Are Fibroids That Become Endocavitary After Uterine Artery Embolization Necessarily a Complication?

¹ 12 Old Ranch Rd., Laguna Niguel, CA 92677.

Abstract

OBJECTIVE. This commentary deals with the study by Verma et al. discussing submucosal and endocavitary fibroids after uterine artery embolization (UAE).

CONCLUSION. UAE can infarct fibroids. Fibroids spontaneously infarct after childbirth. Because the postpartum cervix is patulous, infarcted fibroids that fall into the uterine cavity easily exit the uterus. Each patient contemplating UAE should anticipate that infarcted fibroids bordering on or inside the uterine cavity may require cervical dilatation or hysteroscopic resection for removal. The addition of either of these two gynecology procedures should not necessarily be regarded as a UAE complication or treatment failure.

Keywords: dilatation • fibroid • mass effect • menorrhagia • resection

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