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Title of Journal: Eur Radiol

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Abbravation: European Radiology

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Springer-Verlag

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10.1016/0921-8009(94)90051-5

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1432-1084

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Uterine artery embolisation versus hysterectomy fo

Authors: Anu Ruuskanen Maritta Hippeläinen Petri Sipola Hannu Manninen
Publish Date: 2010/06/06
Volume: 20, Issue: 10, Pages: 2524-2532
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Abstract

Fiftyseven symptomatic patients were randomised to UAE n = 27 or hysterectomy n = 30 Complications recovery reinterventions and satisfaction with treatment were recorded Primary endpoint was improvement of symptoms Analyses were performed by intenttotreat and per protocolTwo hysterectomy patients 7 developed major complications Hospital discharge occurred earlier after UAE than after hysterectomy p  0001 Length of sick leave was longer after hysterectomy than after UAE p  0001 Twentytwo 82 UAE patients and 28 93 hysterectomy patients reported overall relief of symptoms p = 0173 In 12/18 67 UAE patients menorrhagia was completely resolved or reduced Improvement of pressure symptoms was reported significantly more by UAE patients than by hysterectomy patients 19/20 95 versus 18/26 69 respectively p = 0029 Five 19 UAE patients underwent additional interventions due to worsening symptoms Twentyfour 89 UAE patients and 29 97 hysterectomy patients would have chosen treatment again p = 0336This work was supported by financial contributors from the Finnish Cultural Foundation Radiological Society of Finland Society of Interventional Radiology of Finland Instrumentarium Science Foundation The Finnish Medical Society Duodecim and Kuopio University Hospital grant 5063518

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