Symptomatic Uterine Fibroids
Conditions
Keywords
Fibroid, Embolization, Pain, Inflammation
Brief summary
The primary purpose of this study is to compare pain after uterine artery embolization using spherical gelfoam or tris-acryl gelatin microsphere in patients with symptomatic fibroids
Detailed description
Uterine artery embolization(UAE) is a minimally invasive treatment alternative to hysterectomy and myomectomy in symptomatic fibroids. However, post-procedural pain after UAE remains a major problem. The spherical gelfoam and tri-acryl gelatin microsphere are two embolic materials used for UAE. Therefore, the aim of study is to compare pain intensity and inflammation after uterine artery embolization using the two embolic agents with symptomatic fibroids.
Interventions
Uterine artery embolization is performed using spherical gelfoam. All other processes are same.
Uterine artery embolization is performed using tris-acryl gelatin microsphere. All other processes are same.
Sponsors
Study design
Eligibility
Inclusion criteria
1\. Women with symptomatic fibroids (age: 20 - 60 years old)
Exclusion criteria
1. Bradycardia (\<45 bpm) 2. Conduction abnormalities 3. Liver failure 4. renal failure 5. Uncontrolled hypertension 6. High grade obesity (BMI ≥ 30 kg/m2) 7. Drug allergy 8. Illiteracy 9. Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score (VAS score) | up to 24 hours after embolization | Maximum pain score measured during 24 hours after embolization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tumor necrosis rate after embolization | 1 day and 3 months after embolization | technical success indicator |
| Symptom severity questionnaire | before and 3 months after embolization | clinical success indicator |
| White blood cell count (/µL) | the day before and 24 hours after embolization | inflammatory markers |
| C-reactive protein (mg/L) | the day before and 24 hours after embolization | inflammatory markers |
| Cumulative fentanyl dose (µg) | within 24 hours after embolization | Total amount of IV fentanyl administered |
| Use of rescue analgesics (%) | within 24 hours after embolization | Necessity of additional rescue analgesics |
| Lymphocyte percentage (%) | the day before and 24 hours after embolization | Inflammatory marker |
| Neutrophil percentage (%) | the day before and 24 hours after embolization | inflammatory markers |
Countries
South Korea