Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation
Background This study examined the improvement of dysmenorrhoea and menorrhagia after uterine artery embolisation (UAE) in women with symptomatic adenomyosis and identified factors that could predict the improvement of dysmenorrhoea and menorrhagia.Methods This retrospective study included women wit...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Journal of Obstetrics and Gynaecology |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/01443615.2024.2372645 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841553165009289216 |
|---|---|
| author | Siqi Hu Wenbo Guo Song Chen Zhiqiang Wu Wenquan Zhuang Jianyong Yang |
| author_facet | Siqi Hu Wenbo Guo Song Chen Zhiqiang Wu Wenquan Zhuang Jianyong Yang |
| author_sort | Siqi Hu |
| collection | DOAJ |
| description | Background This study examined the improvement of dysmenorrhoea and menorrhagia after uterine artery embolisation (UAE) in women with symptomatic adenomyosis and identified factors that could predict the improvement of dysmenorrhoea and menorrhagia.Methods This retrospective study included women with adenomyosis who underwent bilateral UAE between December 2014 and December 2016. The percentage of the volume of the absence of contrast enhancement on T1-weighted images was evaluated 5–7 days after UAE. A receiver operating characteristic (ROC) analysis was used to determine a cut-off point and predict the improvement of dysmenorrhoea and menorrhagia.Results Forty-eight patients were included. At 24 and 36 months after UAE, the improvement rates for dysmenorrhoea and menorrhagia were 60.4% (29/48) and 85.7% (30/35), and the recurrence rates were 19.4% (7/36) and 9.1% (3/33), respectively. Only the percentage of the volume of the absence of contrast enhancement on T1-weighted images was associated with the improvement of dysmenorrhoea (p = 0.001, OR = 1.051; 95% CI: 1.02–1.08) and menorrhagia (p = 0.006, OR = 1.077; 95% CI: 1.021–1.136). When the cut-off value of the ROC analysis was 73.1%, sensitivity, specificity, positive predictive value, and negative predictive value for the improvement of dysmenorrhoea were 58.6%, 94.7%, 94.4%, and 60%, while they were 58.9%, 80%, 100%, 100%, and 45.5% for the improvement of dysmenorrhoea.Conclusion Bilateral UAE for symptomatic adenomyosis led to good improvement of dysmenorrhoea and menorrhagia. The percentage of the volume of the absence of contrast enhancement on T1-weighted images of the uterus in postoperative magnetic resonance imaging might be associated with the improvement of dysmenorrhoea and menorrhagia. |
| format | Article |
| id | doaj-art-941b60a81a9144cd9bf12ddcc7e43bdf |
| institution | Kabale University |
| issn | 0144-3615 1364-6893 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Obstetrics and Gynaecology |
| spelling | doaj-art-941b60a81a9144cd9bf12ddcc7e43bdf2025-01-09T12:13:17ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2372645Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisationSiqi Hu0Wenbo Guo1Song Chen2Zhiqiang Wu3Wenquan Zhuang4Jianyong Yang5Department of Interventional Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Interventional Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Interventional Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Interventional Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Interventional Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Interventional Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaBackground This study examined the improvement of dysmenorrhoea and menorrhagia after uterine artery embolisation (UAE) in women with symptomatic adenomyosis and identified factors that could predict the improvement of dysmenorrhoea and menorrhagia.Methods This retrospective study included women with adenomyosis who underwent bilateral UAE between December 2014 and December 2016. The percentage of the volume of the absence of contrast enhancement on T1-weighted images was evaluated 5–7 days after UAE. A receiver operating characteristic (ROC) analysis was used to determine a cut-off point and predict the improvement of dysmenorrhoea and menorrhagia.Results Forty-eight patients were included. At 24 and 36 months after UAE, the improvement rates for dysmenorrhoea and menorrhagia were 60.4% (29/48) and 85.7% (30/35), and the recurrence rates were 19.4% (7/36) and 9.1% (3/33), respectively. Only the percentage of the volume of the absence of contrast enhancement on T1-weighted images was associated with the improvement of dysmenorrhoea (p = 0.001, OR = 1.051; 95% CI: 1.02–1.08) and menorrhagia (p = 0.006, OR = 1.077; 95% CI: 1.021–1.136). When the cut-off value of the ROC analysis was 73.1%, sensitivity, specificity, positive predictive value, and negative predictive value for the improvement of dysmenorrhoea were 58.6%, 94.7%, 94.4%, and 60%, while they were 58.9%, 80%, 100%, 100%, and 45.5% for the improvement of dysmenorrhoea.Conclusion Bilateral UAE for symptomatic adenomyosis led to good improvement of dysmenorrhoea and menorrhagia. The percentage of the volume of the absence of contrast enhancement on T1-weighted images of the uterus in postoperative magnetic resonance imaging might be associated with the improvement of dysmenorrhoea and menorrhagia.https://www.tandfonline.com/doi/10.1080/01443615.2024.2372645Adenomyosisuterine artery embolisationmagnetic resonance imaging |
| spellingShingle | Siqi Hu Wenbo Guo Song Chen Zhiqiang Wu Wenquan Zhuang Jianyong Yang Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation Journal of Obstetrics and Gynaecology Adenomyosis uterine artery embolisation magnetic resonance imaging |
| title | Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation |
| title_full | Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation |
| title_fullStr | Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation |
| title_full_unstemmed | Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation |
| title_short | Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation |
| title_sort | factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation |
| topic | Adenomyosis uterine artery embolisation magnetic resonance imaging |
| url | https://www.tandfonline.com/doi/10.1080/01443615.2024.2372645 |
| work_keys_str_mv | AT siqihu factorsassociatedwithdysmenorrhoeaandmenorrhagiaimprovementinpatientswithadenomyosisafteruterinearteryembolisation AT wenboguo factorsassociatedwithdysmenorrhoeaandmenorrhagiaimprovementinpatientswithadenomyosisafteruterinearteryembolisation AT songchen factorsassociatedwithdysmenorrhoeaandmenorrhagiaimprovementinpatientswithadenomyosisafteruterinearteryembolisation AT zhiqiangwu factorsassociatedwithdysmenorrhoeaandmenorrhagiaimprovementinpatientswithadenomyosisafteruterinearteryembolisation AT wenquanzhuang factorsassociatedwithdysmenorrhoeaandmenorrhagiaimprovementinpatientswithadenomyosisafteruterinearteryembolisation AT jianyongyang factorsassociatedwithdysmenorrhoeaandmenorrhagiaimprovementinpatientswithadenomyosisafteruterinearteryembolisation |