Transvaginal radiofrequency ablation of a myoma in 10 key steps.
Fertil Steril
; 122(4): 756-757, 2024 Oct.
Article
in En
| MEDLINE
| ID: mdl-38992747
ABSTRACT
OBJECTIVE:
To describe transvaginal radiofrequency ablation of myomas (TRAM) in 10 key steps.DESIGN:
Video article.SETTING:
University hospital. PATIENT(S) A 38-year-old woman presented with menometrorrhagia and consequent chronic anemia (hemoglobin 8.5 g/dL) caused by a cervical myoma measuring 51 cm3. Initially, a cervicovaginal embolization was performed, but without any improvement in symptoms. Given the complex position of the myoma (close proximity to the uterine arteries), as well as the patient's desire for future pregnancies, a TRAM was proposed. INTERVENTION(S) Not applicable. MAIN OUTCOME MEASURE(S) Volume of myoma and menometrorrhagia 6 months after treatment. RESULT(S) Not applicable. CONCLUSION(S) Transvaginal radiofrequency ablation of myomas is a quick, simple, minimally invasive, and easily reproducible technique. It could be an interesting alternative to the conventional laparoscopic and open-surgical treatments of myomas. There is a lack of high-quality data establishing TRAM safety in infertility and pregnancy. The only available radiofrequency ablation device in the United States has specific language stating that this procedure is not recommended for women considering future pregnancy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Uterine Neoplasms
/
Radiofrequency Ablation
/
Leiomyoma
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Fertil Steril
/
Fertil. steril
/
Fertility and sterility
Year:
2024
Document type:
Article
Country of publication:
Estados Unidos