{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:24:05Z","timestamp":1788909845553,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T00:00:00Z","timestamp":1613260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Failing conservative therapies, uterine artery embolisation (UAE) has been proposed as a uterine\u2010sparing option for treatment of symptomatic adenomyosis. UAE appears effective at short\u2010term; however long\u2010term durability is less well established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the long\u2010term clinical efficacy of UAE for treatment of adenomyosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>One hundred and four women with initial clinical success following UAE for adenomyosis (results previously published) were further followed with a two\u2010part online survey. Part one inquired about menopause, symptom recurrence, need for further intervention and overall satisfaction. Part two comprised the Uterine Fibroid Symptom and health\u2010related Quality of Life (UFS\u2010QOL) questionnaire. Maintenance of clinical success was defined as remaining \u2018happy\u2019 or \u2018very happy\u2019 with overall outcome, no recurrence of symptoms, or need for further intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of those women with initial success, 91\/104 (88%) participated in this long\u2010term study at mean 52\u00a0months following UAE. Maintenance of clinical success was demonstrated in 82\/91 (90%) women. For the remaining 9\/91 (10%) women, mean time to failure was 31\u00a0months. There were 53\/91 (58%) women who reached menopause at mean age of 51.5\u00a0years, occurring at mean 30\u00a0months post\u2010UAE. UFS\u2010QOL demonstrated significant decrease in symptom severity from 58.9 to 20.0 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001); and significant increase in QOL from 40.3 to 86.3 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Long\u2010term durability of UAE for treatment of adenomyosis was demonstrated, with cumulative success rate of 80% at mean 52\u00a0months. UAE did not appear to bring forward menopause. UAE should be considered as an alternative to hysterectomy to treat adenomyosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13304","type":"journal-article","created":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T17:53:52Z","timestamp":1613325232000},"page":"290-296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Long\u2010term durability of uterine artery embolisation for treatment of symptomatic adenomyosis"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5314-8274","authenticated-orcid":false,"given":"Jolande","family":"Ma","sequence":"first","affiliation":[{"name":"Sydney Medical School University of Sydney New South Wales Australia"},{"name":"Sydney Adventist Hospital Clinical School University of Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bevan","family":"Brown","sequence":"additional","affiliation":[{"name":"Sydney Adventist Hospital Clinical School University of Sydney New South Wales Australia"},{"name":"Sydney Fibroid Clinic New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0306-4133","authenticated-orcid":false,"given":"Eisen","family":"Liang","sequence":"additional","affiliation":[{"name":"Sydney Adventist Hospital Clinical School University of Sydney New South Wales Australia"},{"name":"Sydney Fibroid Clinic New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1102994"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gmit.2015.08.003"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.09.018"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.04.004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.2.1770297"},{"key":"e_1_2_6_7_1","first-page":"15","article-title":"Adenomyosis incidence, prevalence and treatment: United States population\u2010based study 2006\u20132015","volume":"15","author":"Yu O","year":"2020","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2011.03.013"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lpm.2019.03.013"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-006-0299-8"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2007.12.009"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000371"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-014-0878-1"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0165610"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2003.11.018"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2007.04.024"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.09.016"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2343031697"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-011-0254-3"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-011-0203-1"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12767"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200202000-00021"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-017-1686-1"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.1613"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2017.07.034"},{"key":"e_1_2_6_26_1","first-page":"CD005073","article-title":"Uterine artery embolization for symptomatic uterine fibroids","volume":"12","author":"Gupta JK","year":"2014","journal-title":"Cochrane Database of Syst Rev"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.2196\/resprot.8512"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.4"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13304","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13304","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T12:43:30Z","timestamp":1695905010000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,14]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1111\/ajo.13304"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13304","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,14]]},"assertion":[{"value":"2020-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}