{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T17:57:14Z","timestamp":1767117434586},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2003,11,27]],"date-time":"2003-11-27T00:00:00Z","timestamp":1069891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label \/><jats:p><jats:italic>Objectives:<\/jats:italic> The aim of this study was to introduce uterine artery embolization (UAE) as an effective and safe treatment option in patients with symptomatic fibroids. <jats:italic>Methods:<\/jats:italic> Sixty\u2010one patients underwent UAE with a 3\u2010 and 12\u2010month follow\u2010up. <jats:italic>Results:<\/jats:italic> The procedure was well tolerated in all patients with the following symptoms improving: heavy bleeding [90% (95% CI 80.21%; 95.4%)]; dysmenorrhea [median \u22124 (95% CI \u22125; \u22124)]; feeling of a mass [74% (95% CI 57.9%; 85.8%)]; abdomino\u2010pelvic discomfort [88% (95% CI 75.5%; 94.9%)]; and deep dyspareunia [90% (95% CI 71.1%; 97.3%)]. Uterine volume decreased by a median difference of 188 cm<jats:sup>3<\/jats:sup> (95% CI 146.5; 236), which related to a median % reduction of 37.7% (95% CI 32.4%; 45%) at 12\u2010month follow\u2010up. Most (91%) patients were satisfied with the procedure and only minor complications occurred. <jats:italic>Conclusions:<\/jats:italic> Uterine artery embolization can be performed effectively and safely at centers with the necessary expertise and can be used with success in Africa.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2003.09.006","type":"journal-article","created":{"date-parts":[[2004,2,28]],"date-time":"2004-02-28T10:31:19Z","timestamp":1077964279000},"page":"236-240","source":"Crossref","is-referenced-by-count":10,"title":["Uterine artery embolization for symptomatic fibroids"],"prefix":"10.1002","volume":"84","author":[{"given":"A.","family":"Prollius","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"de Vries","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Loggenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Nel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"du Plessis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.J.","family":"Van Rensburg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.H.","family":"Wessels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,11,27]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/S0889-8545(21)00665-3","article-title":"Myomata uteri and infertility","volume":"22","author":"Wallach E.E.","year":"1995","journal-title":"Obstet Gynecol Clin North Am"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1996.tb09794.x"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)92282-2"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70624-0"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(97)70603-1"},{"key":"e_1_2_5_7_2","unstructured":"Worthington\u2010KirschR.L. DelaneyM.L. HutchinsF.L.Uterine artery embolization for the management of myomata in patients without complaints of menorrhagia.Tenth Annual International Conference of the Society of Minimally Invasive Therapy September 1998 London England [Abstr.].1998"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10060.x"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200107000-00006"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.215.2.r00ma11428"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200106000-00026"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/1098-2264(200007)28:3<235::AID-GCC1>3.0.CO;2-7"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.153.1.6473771"},{"key":"e_1_2_5_14_2","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1002\/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO;2-E","article-title":"Two\u2010sided confidence intervals for the single proportion: comparison of several methods","volume":"17","author":"Newcombe R.G.","year":"1988","journal-title":"Stat Med"},{"key":"e_1_2_5_15_2","unstructured":"Worthington\u2010Kirsch RL Koller NE. Time course of pain after uterine artery embolization for fibroid disease Medscape Women's Health eJournal 2002;7(2). Available at:http:\/\/www.medscape.com\/viewarticle\/430765"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01483-1"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(00)01572-7"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(98)80025-X"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.humrep.a136176"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00405-2"},{"key":"e_1_2_5_21_2","first-page":"5","volume-title":"Hysterectomy: a review of the literature on indications, effectiveness, and risks","author":"Bernstein S.J.","year":"1997"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729203004454?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729203004454?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2003.09.006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2003.09.006","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2003.09.006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T19:35:12Z","timestamp":1696361712000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2003.09.006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,11,27]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004,3]]}},"alternative-id":["10.1016\/j.ijgo.2003.09.006"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2003.09.006","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,11,27]]}}}