Juniper Publishers| Non-surgical Treatment Approach of uterine Fibroids: a New Therapeutic Dilemma?
Journal of Surgery - JuniperPublishers Editorial Uterine fibroids are benign tumors and most commonly affect women of reproductive age [1-6]. Despite the fact that a wide variety of symptoms can be associated with them (heavy menstrual bleeding, abdominal and pelvic pain, pressure upon adjacent organs, fertility issues and adverse pregnancy outcomes), most of them are asymptomatic [1-3,5-8]. Although there are many therapeutic protocols, the surgical approach with either myomectomy or hysterectomy and preoperative administration of GnRH analogues, represents the primary treatment [1-3,5,8-15]. The non-surgical management with either embolization of uterine vessels or focused ultrasound energy, represents a promising alternative approach in well selected patients [2-6,10,16-23]. However, the final therapeutic decision should be carefully individualized based on fibroid location and features, patient’s general medical status and desire of fertility preservation [2-6,10,16-23].