Sequelae of uterine interventional embolization

Many older women suffer from various gynecological diseases. When there is a problem with the uterus, many people feel embarrassed, so they delay the treatment of the disease. Even a minor problem may become serious. Uterine interventional embolization can treat many uterine diseases. As a very hot topic nowadays, it is recognized by many people. However, any surgery will have some sequelae, and uterine interventional embolization is of course no exception.

Surgical treatment includes radical surgery and conservative surgery. Radical surgery is hysterectomy, and conservative surgery includes adenomyosis lesion (adenomyoma) resection, endometrial and myometrial resection, myometrial electrocoagulation, uterine artery occlusion, presacral neurectomy and sacral neurectomy.

(1) Hysterectomy

It is suitable for patients who have no fertility requirements, have extensive lesions, severe symptoms, and are ineffective with conservative treatment. Moreover, in order to avoid residual lesions, total hysterectomy is the first choice, and partial hysterectomy is generally not advocated.

(2) Lesion resection for adenomyosis

Suitable for patients who want to have children or young patients. Because adenomyosis often has diffuse lesions and unclear boundaries with the normal uterine muscle tissue, how to choose the method of resection to reduce bleeding, residual tissue and facilitate postoperative pregnancy is a rather difficult problem.

Interventional treatment

Selective uterine artery embolization can also be used as one of the treatment options for adenomyosis. Its mechanisms of action include: necrosis of the ectopic endometrium, reduced secretion of prostaglandins, relief of dysmenorrhea, reduction of menstrual volume, and lower recurrence rate; establishment of collateral circulation of the endometrium in place, which can gradually migrate and grow from the basal layer to restore function. However, uterine artery embolization will affect the blood supply to the uterus and ovaries, thus having an adverse effect on pregnancy. It may cause infertility, miscarriage, premature birth and increase the rate of cesarean section.

Drugs that shrink lesions before surgery and reduce recurrence after surgery. GnRHa injection makes the hormone level in the body reach the menopausal state, thereby causing the ectopic endometrium to gradually atrophy and play a therapeutic role. The application of GnRHa can significantly reduce the size of the uterus and can be used as a preoperative medication for some patients with larger lesions and difficult surgeries. If you wait until the uterus becomes smaller before performing surgery, the risks and difficulty will be significantly reduced. Side effects may cause menopausal symptoms and even serious cardiovascular and cerebrovascular complications and osteoporosis. Therefore, it is recommended to add estrogen in reverse after 3 months of GnRHa application to alleviate complications. In addition, GnRHa is expensive, so it is not currently used as a long-term treatment option. Once the drug is stopped, the resumption of menstruation may lead to further progression of the disease.

The above content introduces us to the method of uterine artery embolization. These contents are undoubtedly a great blessing to our patients. We can use the above methods to effectively treat our own problems. We can also tell the above article to our relatives and friends around us, so that more people can recover their health.