Book contents
- Frontmatter
- Contents
- Contributors
- Preface
- Foreword
- 1 Uterine fibroids: epidemiology and an overview
- 2 Histopathology of uterine leiomyomas
- 3 Imaging of uterine leiomyomas
- 4 Abdominal myomectomy
- 5 Laparoscopic managment of uterine myoma
- 6 Hysteroscopic myomectomy
- 7 Myomas in pregnancy
- 8 Expectant and medical management of uterine fibroids
- 9 Hysterectomy for uterine fibroid
- 10 History of embolization of uterine myoma
- 11 Uterine artery embolization – vascular anatomic considerations and procedure techniques
- 12 Pain management during and after uterine artery embolization
- 13 Patient selection, indications and contraindications
- 14 Results of uterine artery embolization
- 15 Side effects and complications of embolization
- 16 Reproductive function after uterine artery embolization
- 17 Reasons and prevention of embolization failure
- 18 Future of embolization and other therapies from gynecologic perspectives
- 19 The future of fibroid embolotherapy: a radiological perspective
- Index
- Plate section
12 - Pain management during and after uterine artery embolization
Published online by Cambridge University Press: 10 November 2010
- Frontmatter
- Contents
- Contributors
- Preface
- Foreword
- 1 Uterine fibroids: epidemiology and an overview
- 2 Histopathology of uterine leiomyomas
- 3 Imaging of uterine leiomyomas
- 4 Abdominal myomectomy
- 5 Laparoscopic managment of uterine myoma
- 6 Hysteroscopic myomectomy
- 7 Myomas in pregnancy
- 8 Expectant and medical management of uterine fibroids
- 9 Hysterectomy for uterine fibroid
- 10 History of embolization of uterine myoma
- 11 Uterine artery embolization – vascular anatomic considerations and procedure techniques
- 12 Pain management during and after uterine artery embolization
- 13 Patient selection, indications and contraindications
- 14 Results of uterine artery embolization
- 15 Side effects and complications of embolization
- 16 Reproductive function after uterine artery embolization
- 17 Reasons and prevention of embolization failure
- 18 Future of embolization and other therapies from gynecologic perspectives
- 19 The future of fibroid embolotherapy: a radiological perspective
- Index
- Plate section
Summary
Introduction
Uterine artery embolization (UAE) has evolved into a safe and effective alternative treatment for women with symptomatic uterine fibroids. Published series have documented clinical response rates of 81–94% for menorrhagia and 64–96% for bulk-related symptoms, with high patient satisfaction ratings and few major complications. The advantages of this procedure include shorter hospitalizations, uterine preservation, and the ability to treat all myomata in the uterus in a single session. Importantly, the nonsurgical nature of UAE enables the procefure to be performed under conscious sedation, a very important advantage that significantly lowers the risks and morbidity of the procedure.
Many critical aspects of establishing a UAE program relate to ensuring the tolerability of the procedure. Careful attention to compassionate periprocedural patient care is paramount in encouraging physicians to continue recommending this treatment option to their patients. With the UAE patient population, many referrals reach the interventionalist through word-of-mouth patient-to-patient referral; the practitioner who does not expend maximum effort ensuring patient comfort will very rightly not receive such referrals. The interventional physician must be able to provide the patient with reasonable expectations about the peri-procedural discomfort she might encounter, establish a routine monitoring and sedation plan for UAE, ensure a suitable environment for post-procedure patient recovery, prevent and treat post-procedural symptoms, communicate with the patient and nursing staff, and monitor patient satisfaction.
- Type
- Chapter
- Information
- Uterine FibroidsEmbolization and other Treatments, pp. 91 - 96Publisher: Cambridge University PressPrint publication year: 2003