Uterine Fibroid Embolization Procedure – Pahoa, Hawaii

Best Uterine Fibroid Treatment Doctors & Fibroid Center In Pahoa,Hawaii

Dr.Pauline Burrell, MD
Pahoa Obstetricians
29 S. Adams St.
Pahoa,HI 96778
Phone: (397) 430-6334
Business Hours: 7:00 am - 4:00 pm
By Appointment Only: no
Accepts Insurance: Yes
Practice Areas: obstetrical care,obstetrical care,Internal Medicine
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Dr.Shelli Bernal, MD
Pahoa Gynecologists
459 Rockville St.
Pahoa,HI 96778
Phone:(855) 470-7218
Business Hours: 10:00 am - 6:00 pm
By Appointment Only: no
Accepts Insurance: Yes
Practice Areas: Internal Medicine,Internal Medicine,gynecological care
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Dr.Roxanna Osborne, MD
Pahoa Fertility Care
77 Sherwood Road
Pahoa,HI 96778
Phone: (389) 514-2014
Business Hours: 11:00 am - 4:00 pm
By Appointment Only: No
Accepts Insurance: No
Practice Areas: Family Practice,Internal Medicine,gynecological care
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Dr.Bong Morin, MD
Pahoa Family Practice
313 Union Street
Pahoa,HI 96778
Phone: (478) 177-4209
Business Hours: 11:00 am - 6:00 pm
By Appointment Only: No
Accepts Insurance: no
Practice Areas: gynecological care,obstetrical care,obstetrical care
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Local offers advice on uterine fibroid treatment- Pahoa, Hawaii

THIS WEEK IS NATIONAL WOMEN'S HEALTH WEEK. A WEEK DEVOTED TO HELPING WOMEN LEAD LONGER, SAFER AND HEALTHIER.

LIVES. ONE WOMEN'S HEALTH ISSUE THAT'S NOT UNCOMMON. BUT NOT OFTEN TALKED ABOUT IS UTERINE FIBROIDS. WHICH AFFECTS.

BETWEEN 20 AND 40 PERCENT OF WOMEN OVER THE AGE OF 35. Fibroids are basically a benign tumor in the muscle of the uterus. They can be located in.

Three different locations. Most of the time they are in the wall of the uterus.quot; CHRISTY MEADE IS WITH SPECTRUM MEDICAL GROUP, SHE SAYS SOMETIMES.

WOMEN WHO HAVE UTERINE FIBROIDS DON'T KNOW IT. BECAUSE THEY DON'T ANY SYMPTOMS, BUT OTHERS SUFFER A GREAT DEAL. quot;the most common.

Symptoms we hear about is excessive bleeding during their period is it called menarayia. We also have irregular bleeding so they can bleed in between periods as.

Well as heavy periods.quot; AND THERE ARE OTHER PROBLEMS AS WELL INCLUDING PAIFUL CRAMPS AND PAINFUL INTERCOURSE. PLUS FIBROIDS CAN ALSO.

Advantages of Prostate Artery Embolization with the Magellan Robotic System

All right. Thank you very much for the invitation. I'm excited to speak about the role of robotics in Prostate Artery Embolization. So a couple of things I'm going to cover here. First, is just review the literature for PAE and describe a little bit about who's the candidate for the procedure, then focus on what the challenges are with the procedure, because think that's the main obstacle that we face with PAE. And then, the transition of the Magellan Robot into our current practice with PAE, and then what those actual advantages are over the traditional method. And I'll show some case examples. So in terms of who is the candidate, there's really a few ways to break this down. The.

First is looking at what does the data support in terms of which patients to treat, who are poor traditionally urologic candidates, and let's talk about who's not really a candidate at all for PAE. So the data, when we look at a review article from 2014, this is published in CBIR, and it reviewed all the studies done up until mid last year. And as you'll see on the next slide, it looked at 562 studies through a PUBMED database study. They ended up narrowing it down to nine articles, in which they reviewed 706 patients that were actually included in the analysis. There was some possible overlap of data from European studies, and there were no randomized.

Control trials at that point published or studied longer than two years. All patients had moderatetosevere symptoms in terms of their prostate enlargement, or BPH, and the mean age of the patient in these studies is, as you would expect, in the mid to late 60s to early 70s. When they took all the data together and they pulled it all together, they found out that although these patients started in the moderatetosevere category, as you can see here in the dark blue line, this is an IPSS score, which is the severity of symptoms a man faces from their prostate enlargement. And you can see that it reduced by more than 50% in the first month after the procedure,.

Or PAE, and was durable to at least 12 months and then out to 36 months. Their quality of life, which is on a different scale of 0 to 6, did also improve by 50% or more. And this is also durable out to 36 months. So besides this really impressive al improvement, they also found that there was a decrease in prostate volume, PSA decreased, and importantly, there was no deterioration in sexual function. And they concluded that the overall benefit of PAE is very positive at 12 months and the procedure does seem safe. Now, subsequent to this, there were two randomized control trials that were published and presented at a national meeting. The first of this study that was published in radiology, it was a.

Chinese study. It was a randomized control study with up to 114 patients, in which half of the patients were randomized to get TURP, which is the traditional transurethral resection of the prostate, or a rotorooter type procedure. In this procedure, which is performed through the urethra, as most people may know, is associated with a significant complication rate anywhere from 5 to 15%, in terms of things like incontinence, impotence, bleeding, etcetera. And other complications, such retrograde ejaculation occur in up to 75% of patients. In this study, they wanted to randomize patients to TURP or PAE, and they looked at midsized prostate patients.

Which are 50 to 80 grams in size, and they followed them for two years. And what they found is both sets of patients have significant improvement in symptoms that did not differ. The PAE group, however, did have twice the failure rate compared to TURP. And that's important because that difference in failure rate was really related to the technical success of the procedure, which speaks to the challenge. Carnevale presented his data from Brazil at the 2014 American Urologic Association meeting in which they did 15 patients in each arm when they compared TURP and PAE. And they found also both arms demonstrated significant improvement, although there were less complications with PAE.

There was a better improvement in terms of quality of life and flow rates associated with the TURP arm compared with PAE. And you'll see here that in the Gao study, both red and blue, PAE and TURP, from 0 months to two years on both left and right. Left is the al score of IPSS, how do people do. And you can see they both have significant al improvement and there's no difference at 24 months. And in their study, there was no difference in flow rates, as you can see on the right, at two years. In the Carnevale study, you'll see that they both improved in terms of symptom improvement, however, there was a greater symptom improvement in the TURP arm compared with PAE.

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