Zusammenfassung
Der Wunsch von Patientinnen nach Organerhalt bzw. konservativen Therapiemöglichkeiten
fordert Alternativen zur Hysterektomie in der Behandlung des symptomatischen Uterus
myomatosus. Myomenukleation, Myomembolisation, symptomatische Therapien u. a. können
solche Therapieoptionen sein. Für jede Patientin, auch bei abgeschlossener Familienplanung,
sollte ein individuelles Behandlungskonzept entwickelt werden, dass sowohl die Vorstellungen
der Patientin als auch die Erfolgsaussichten und Risiken der Behandlungsmethoden des
Uterus myomatosus abwägt und zu einer sinnvollen Therapie führt.
Abstract
Total hysterectomy is considered as gold standard in the treatment of symptomatic
uterine fibroids in women without reproductive wishes. However an increasing number
of patients asked for alternatives to hysterectomy. Myomectomy, endometrial ablation,
hormonal treatment, uterine artery embolization, and supracervical hysterectomy may
be useful in the treatment uterine fibroids in an individual patient.
Schlüsselwörter
Myomenukleation - Myomembolisation - suprazervikale Hysterektomie - Endometriumsablation
Key words
Uterine artery embolization - supracervical hysterectomy - myomectomy - endometrial
ablation
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PD Dr. R. Gaetje
Klinik für Gynäkologie und Geburtshilfe · Johann Wolfgang Goethe-Universität
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