Sexuality and Body Image After Uterine Artery Embolization and Hysterectomy in the Treatment of Uterine Fibroids: A Randomized ComparisonReport as inadecuate




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CardioVascular and Interventional Radiology

, Volume 30, Issue 5, pp 866–875

First Online: 02 August 2007

Abstract

In this paper the effect of uterine artery embolization UAE on sexual functioning and body image is investigated in a randomized comparison to hysterectomy for symptomatic uterine fibroids. The EMbolization versus hysterectoMY EMMY trial is a randomized controlled study, conducted at 28 Dutch hospitals. Patients were allocated hysterectomy n = 89 or UAE n = 88. Two validated questionnaires the Sexual Activity Questionnaire SAQ and the Body Image Scale BIS were completed by all patients at baseline, 6 weeks, and 6, 12, 18, and 24 months after treatment. Repeated measurements on SAQ scores revealed no differences between the groups. There was a trend toward improved sexual function in both groups at 2 years, although this failed to reach statistical significance except for the dimensions discomfort and habit in the UAE arm. Overall quality of sexual life deteriorated in a minority of cases at all time points, with no significant differences between the groups at 24 months: UAE, 29.3%, versus hysterectomy, 23.5%; p = 0.32. At 24 months the BIS score had improved in both groups compared to baseline, but the change was only significant in the UAE group p = 0.009. In conclusion, at 24 months no differences in sexuality and body image were observed between the UAE and the hysterectomy group. On average, both after UAE and hysterectomy sexual functioning and body image scores improved, but significantly so only after UAE.

KeywordsUterine artery embolization Hysterectomy Fibroid Leiomyoma Sexuality Body image Trial registration: www.clinicaltrials.com identifier: NCT00100191. All centers where the trial was conducted, other than those below, are listed in the Acknowledgments.

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Author: Wouter J. K. Hehenkamp - Nicole A. Volkers - Wouter Bartholomeus - Sjoerd de Blok - Erwin Birnie - Jim A. Reekers - Wil

Source: https://link.springer.com/







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