Skip Navigation


Hum. Reprod. Advance Access originally published online on September 9, 2005
Human Reproduction 2006 21(1):269-271; doi:10.1093/humrep/dei299
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF ) Freely available
Right arrow All Versions of this Article:
21/1/269    most recent
dei299v1
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (10)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Vilos, G.A.
Right arrow Articles by Abu-Rafea, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vilos, G.A.
Right arrow Articles by Abu-Rafea, B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. for Permissions, please email: journals.permissions@oupjournals.org

Temporary uterine artery occlusion for treatment of menorrhagia and uterine fibroids using an incisionless Doppler-guided transvaginal clamp: Case report

G.A. Vilos1,3, E.C. Vilos1, W. Romano2 and B. Abu-Rafea1

1 Department of Obstetrics and Gynecology and 2 Department of Radiology, University of Western Ontario, St Joseph’s Health Care, London, Ontario, Canada

3 To whom correspondence should be addressed: Department of Obstetrics and Gynecology, St Joseph’s Health Care, 268 Grosvenor Street, London, Ontario, Canada N6A 4V2. E-mail: george.vilos{at}sjhc.london.on.ca

We report the successful treatment of a 43-year-old woman with menorrhagia and multiple uterine fibroids by temporary uterine artery occlusion. Using a Doppler-guided transvaginal clamp, her uterine arteries were non-invasively identified and occluded by mechanical compression against the cervix for 6 h. Following removal of the clamp, blood flow in the uterine arteries returned immediately. Menorrhagia symptoms were tracked with the Ruta Menorrhagia Severity Scale. Uterine and fibroid volumes were measured by analysis of magnetic resonance images. The patient’s self-reported menorrhagia symptoms were significantly reduced at 6 months (70% reduction in Ruta score) and both uterine volume and fibroid volume had decreased by more than 44% at 6 months. This case report illustrates the potential applicability of a simple-to-use, non-surgical device for the treatment of menorrhagia and uterine fibroids by temporary uterine artery occlusion.

Key words: fibroid/leiomyoma/menorrhagia/uterine artery occlusion


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Hum Reprod UpdateHome page
G. Tropeano, S. Amoroso, and G. Scambia
Non-surgical management of uterine fibroids
Hum. Reprod. Update, May 1, 2008; 14(3): 259 - 274.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
J. M.P. Jaraquemada
Possibility of hidden damages with temporary uterine artery occlusion device
Hum. Reprod., October 1, 2006; 21(10): 2721 - 2721.
[Full Text] [PDF]

Home page
 Hum ReprodHome page
G.A. Vilos, E.C. Vilos, W. Romano, and B. Abu-Rafea
Reply: Possibility of hidden damages with temporary uterine artery occlusion device
Hum. Reprod., October 1, 2006; 21(10): 2721 - 2722.
[Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.