Objectives: a) Determine the feasibility of transvaginal uterine artery ligation as conservative minimally invasive
treatment in symptomatic uterine fi
b) Evaluate the effi
cacy of transvaginal uterine artery ligation on symptoms of leiomyoma & ultrasound features of leiomyoma.
Prospective Clinical Study.
Material & Method:
20 women, in the reproductive age with symptomatic uterine fi
broids, willing for conservative surgical
management were recruited for the study from the outpatient clinic at Guru Teg Bahadur Hospital, Delhi. Transvaginal uterine
artery ligation was done under anesthesia. Th
e patients were followed up at 1, 3 and 6 months for persistence or recurrence of
symptoms, clinical examination and transvaginal ultrasonography.
At 6 months there was statistically signifi
cant decrease in the following measured outcomes - menstrual blood loss
(40.16%), dysmenorrohea (66%), dyspareunia (75%), low backache (65%), fi
broid volume (25%), and uterine volume (19%).
Transvaginal uterine artery ligation was found to be safe, effi
cacious, feasible and cost eff
ective procedure with
good patient satisfaction rates towards conservative approach for treating uterine myomas.
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