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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (6): 842-844    DOI: 10.12891/ceog4472.2018
Original Research Previous articles | Next articles
Unintended pregnancies with term delivery following ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation of uterine fibroid and adenomyosis
Jae-Seong Lee1, Tae-Eung Kim2, Jang Heub Kim3, Byung Joon Park2, *()
1 Aegis-Roen Obstetrics and Gynecology Clinic, Seoul, Korea
2 Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Incheon St. Mary’s Hospital, Incheon, Korea
3 Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea
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Abstract  
Purpose of Investigation: This study aimed to assess the pregnancy outcome of patients with uterine fibroid or adenomyosis treated by ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation. Materials and Methods: Treatment was administrated using a focused ultrasound tumor therapeutic system. In this study, there were 23 unintended pregnancies after USgHIFU ablation. Results: Twelve patients developed no complication during pregnancy and continued until full term delivery. Vaginal and cesarean section deliveries were also uneventful. The following are the pregnancy outcome of the patients: three patients experienced spontaneous abortions, one patient experienced preterm delivery, and five patients remained pregnant at this point. Conclusions: USgHIFU seems to have the effectiveness to precisely treat adenomyosis and uterine fibroid, allowing for normal reproduction. Well-designed prospective trials are needed to ascertain the safety of this treatment with pregnancy due to the lack of large-scaled study.
Key words:  Adenomyosis      HIFU      Pregnancy      Uterine fibroid     
Published:  10 December 2018     
*Corresponding Author(s):  BYUNG JOON PARK     E-mail:  amenorrhea@catholic.ac.kr

Cite this article: 

Jae-Seong Lee, Tae-Eung Kim, Jang Heub Kim, Byung Joon Park. Unintended pregnancies with term delivery following ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation of uterine fibroid and adenomyosis. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 842-844.

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https://ceog.imrpress.com/EN/10.12891/ceog4472.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I6/842

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