Auteurs

Combined Medical and Surgical Approach to Symptomatic Fibroids with
Fertility Preservation
Abstract ID : 1643
Soumis par : Jennifer Yam Le 2016-03-13 21:21:59
Nom de la catégorie : SEUD CONGRESS
Typologie : Video
Statut : validé
Autorisation de diffusion : Yes/Oui
------------------------------------This video demonstrates a combined medical and surgical approach to management of significant bulk symptoms from
uterine fibroids, in the context of future fertility preservation. The technique optimizes the benefits of both treatments
while minimizing the risks and disadvantages.
Initial therapy with Ulipristal acetate provides pre-operative reduction in fibroid volume with the added benefit of
controlling abnormal uterine bleeding. Subsequent myomectomy with removal of dominant subserosal (Type 6 or 7)
fibroids allows for timely relief of bulk symptoms. Intramural (Type 3 – 5) fibroids are not resected given the higher
surgical risk as well as potential risks to future fertility and pregnancy. Post-operatively, repeat courses of Ulipristal
acetate access the long-term benefits of medical therapy for continued fibroid volume reduction and symptom control for
fibroids left insitu. We present two cases where this approach was used and demonstrate the outcomes.
------------------------------------Mots clefs : Uterine fibroid, Fertility Preservation, Medical treatment, Surgical treatment, Ulipristal Acetate
Auteurs :
Joindre un fichier Vidéo:
1457899863_combined-medical-and-surgical-approach-to-symptomatic-fibroids-with-fertility-preservationbroadband.mov
Références : , , ,
Auteurs
Jennifer Yam 1, Mehra Neeraj 1,
1. Obstetrics and Gynecology, University of British Columbia, Vancouver, CANADA
Auteurs (raw format)
Yam Jennifer - email : [email protected] Etablissement : University of British Columbia Service : Obstetrics and
Gynecology Ville : Vancouver Pays : CANADA Présentateur : Oui
Neeraj Mehra - email : [email protected] Etablissement : University of British Columbia Service : Obstetrics
and Gynecology Ville : Vancouver Pays : CANADA Présentateur : Non