REVIEWS  THE DESTINY OF MYOMAS 

Minerva Ginecologica 2016 June;68(3):364-79

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Alternatives to surgery for the treatment of myomas

Federica CIOLINA, Lucia MANGANARO, Roberto SCIPIONE, Alessandro NAPOLI ✉

Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I “Sapienza” University of Rome, Rome, Italy

Uterine fibroids are benign neoplasms that can cause distressing symptoms in women during their reproductive age. They are often associated with menorrhagia that can determine anemia or bulk-related symptoms. Different treatment options are available: medical therapy has the goal to treat related symptoms, while semi-invasive or non-invasive uterus-sparing procedures aim to treat symptoms and eventually to determine a reduction in fibroids size. In this review we illustrate the current semi-invasive and totally non-invasive most frequently used uterus sparing procedures available. A review of the literature along with personal experience will offer the readers a panoramic view of these up-to-date treatments to be considered as different possibilities to treat women affected by uterine fibroids looking for uterus conserving non-surgical approach.