Focused ultrasound surgery of intramural leiomyomas may facilitate fertility: a case report.
نویسندگان
چکیده
OBJECTIVE To describe a successful pregnancy after a change in configuration of the endometrial cavity after magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) for leiomyomas. DESIGN Case report. SETTING University hospital. PATIENT A 40-year-old woman with known leiomyomas and a history of secondary infertility. INTERVENTION Magnetic resonance imaging-guided focused ultrasound surgery treatment of two intramural myomas, one with a significant submucosal component. MAIN OUTCOME MEASURE Change in conformation of the uterine cavity. RESULT(S) A viable intrauterine pregnancy, with full-term uneventful labor and vaginal delivery. CONCLUSION(S) Magnetic resonance imaging-guided focused ultrasound surgery changed the configuration of the endometrial cavity, and a subsequent pregnancy resulted in a term delivery.
منابع مشابه
I-49: Safely Extending Focused Ultrasound Surgery for Uterine Leiomyomas to Women Who Desire Future Pregnancies
Background: Focused ultrasound surgery (FUS) is a novel noninvasive surgery that results in localized tissue necrosis without any breech of the skin or other body orifice. MRI guidance provides anatomic visualization and real time thermal feedback. Our goal is to safely extend this therapy to women who desire future pregnancies. Materials and Methods: We have undertaken 4 multisite trials of FU...
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Background: Uterine leiomyomas (fibroids) are now known to be highly variable in their clinical behavior and biologic basis. However, the approach to leiomyomas and their effect on fertility, miscarriage and pregnancy complications has been based on location alone. Materials and Methods: This talk with bring together published information on the effect of leiomyomas on reproductive performance ...
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OBJECTIVES This report seeks to introduce some cases of the patients who received magnetic resonance imaging (MRI)-guided high intensity focused ultrasound (HIFU) surgery (MRgFUS)-based intramural uterine fibroids treatment where the post-MRgFUS intramural uterine fibroids decreased in its volume and protruded towards the endometrial cavity to be expelled by hysteroscopy. METHODS Of the 157 p...
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ورودعنوان ژورنال:
- Fertility and sterility
دوره 88 2 شماره
صفحات -
تاریخ انتشار 2007