Alternative therapies in management of leiomyomas

Capsule:
Magnetic resonance imaging–guided focused ultrasound surgery, cryomyolysis, and transcervical temporary occlusion of the uterine arteries are emerging, minimally invasive options for leiomyomas therapy.

Authors:
Amrita Patel, M.D., Minnie Malik, Ph.D., Joy Britten, M.D., Jeris Cox, M.D., William H. Catherino, M.D., Ph.D.

Volume 102, Issue 3, Pages 649-655

Abstract:
Leiomyomas are benign soft-tissue neoplasms that arise from smooth muscle. Relief of symptoms (abnormal uterine bleeding, pain, pressure) is the major goal in management of women with significant symptoms. For symptomatic myomas, hysterectomy is a definitive solution; however, there are emerging less-invasive options. Magnetic resonance imaging–guided focused ultrasound surgery, cryomyolysis, and temporary occlusion of the uterine arteries are treatment options that are minimally invasive interventions with the benefit of preserving the uterus. This review summarizes procedure techniques, eligibility, complications, and outcomes of these alternate therapies.

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