Ovarian reserve after internal iliac artery ligation

Mathyk, Begüm Aydoğan; Çetin, Berna Aslan; Atakul, Nil; Köroğlu, Nadiye; Bahat, Pınar Yalçın; Turan, Gökçe; Yüksel, İlkbal Temel

doi:10.1111/jog.13719

Cited by 4 publications

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The effects of UAO concomitant with myomectomy (UAO + M) on fertility are unclear . A previous study evaluated ovarian reserve after UAO + M using hormone markers and found no significant effect on subsequent ovarian function, while another study reported short‐term alterations in ovarian reserve in patients undergoing internal iliac artery ligation (IIAL) for post‐partum hemorrhage as assessed based on serum sex hormone levels and ultrasound parameters . To the best of our knowledge, few studies have evaluated the impact of UAO + M to the ovarian reserve, simultaneously using serology, ultrasound parameters and Doppler indices.…”

Section: Introductionmentioning

confidence: 99%

Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Chen

Huang

Kung

2020

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim: To evaluate the influence of uterine artery occlusion at myomectomy (UAO + M) on ovarian reserve based on serum sex hormone levels, ultrasound and color Doppler examinations. Methods: In this cohort study, nine women with symptomatic uterine myomas underwent UAO + M were recruited. Each woman was assessed preoperatively and 3, 6 months postoperatively, through a serial of hormonal, ultrasound parameters and Doppler examination for ovarian stromal blood flow. The data were analyzed using generalized estimating equations.Results: There was no significant difference in serum anti-Müllerian hormone (AMH) or follicle-stimulating hormone (FSH) levels before and 3, 6 months after UAO + M. The ovarian volume, antral follicle count (AFC) and ovarian stromal blood flow had significant changes in the right ovary. Ovarian volume and AFC significantly reduced at 3 months and recovered at 6 months postoperatively (P = 0.046, P = 0.019, respectively). Peak systolic velocity and end diastolic velocity significantly decreased at 3 months and leveled off at 6 months (P < 0.001, P = 0.001, respectively). Resistance index significantly increased at 3 months and decreased at 6 months (P = 0.037). A similar trend in ultrasound and Doppler findings was observed in the left ovary, but no statistical significance was found. Conclusion: UAO + M had no detrimental effect on ovarian reserve 6 months postoperatively based on AMH and FSH levels. AFC, ovarian volume and stromal blood flow were transiently decreased in 3 months and recovered in 6 months.

show abstract

Section: Introductionmentioning

confidence: 99%

Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Chen

Huang

Kung

2020

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…Recent studies have shown that IIAL and concurrent hysterectomy can be life-saving interventions in peripartum hemorrhage scenarios. However, these procedures can temporarily reduce serum anti-Müllerian hormone (AMH) levels and ovarian volume in the short term, adversely affecting ovarian reserve [ 22 ]. Our study’s findings prove that no serious complications, such as necrosis in vital organs like the gluteal muscles, legs, bladder, ovaries, and uterus, were seen following the BIIAL procedure due to the interruption of blood flow.…”

Section: Discussionmentioning

confidence: 99%

Effects of Internal Iliac Artery Ligation on Stress and Urge Incontinence: A Retrospective Evaluation

Akay,

Uzun Gül,

Mutlu

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: Does bilateral internal iliac artery ligation (BIIAL), a fundamental intervention in the treatment of postpartum hemorrhage, increase the risk of urinary incontinence (UI)? This study aims to shed light on the effects of BIIAL on bladder perfusion and urinary system integrity, thereby elucidating urinary function disorders following pelvic surgery. Methods: Demographic and medical data were collected from a total of 192 female patients, with and without the application of BIIAL. Urinary incontinence conditions were assessed using the Questionnaire for Urinary Incontinence Diagnosis (QUID) test. The data collection process was conducted according to ethical standards, and the results were analyzed to determine the types of incontinence. Results: In the group that underwent BIIAL, the number of pregnancies and births was statistically higher compared to the control group. A significant effect of BIIAL was seen in cases of urge urinary incontinence (UUI), while no meaningful impact was detected on stress urinary incontinence (SUI). After the BIIAL procedure, an increase in the rate of urinary leakage was seen in certain cases. Conclusion: Bilateral internal iliac artery ligation has proven to be a safe and effective intervention in the management of postpartum hemorrhage. The findings suggest a potential impact of BIIAL on UUI but not on SUI. Comprehensive and long-term prospective studies are needed to further investigate the effects of BIIAL on pelvic blood flow and bladder functions.

show abstract

The impact of internal iliac artery ligation on hormonal and functional ovarian reserve parameters: A case–control study in patients with postpartum hemorrhage in sub‐Saharan Africa

Birge,

Kayar,

Çetin

2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectiveThe study aims to evaluate the long‐term impact of internal iliac artery ligation (IIAL) on ovarian hormonal and functional changes in women. The procedure is often used for postpartum hemorrhage and is considered uterus‐sparing. However, its effects on ovarian reserve and fertility preservation remain controversial.MethodsThis is a retrospective, case–control study involving consecutive female patients aged 17–47 years. These patients underwent successful bilateral IIAL due to severe postpartum hemorrhage between January 2022 and December 2022. The control group included women of matching age, parity, and body mass index (BMI) who did not undergo IIAL. Both groups were followed for 6 months to measure follicle‐stimulating hormone (FSH) and luteinizing hormone (LH) levels, antral follicle counts, and ovarian volume.ResultsThe study comprised 62 patients in the IIAL group and 86 in the control group. No significant differences were found in FSH and LH levels between the two groups (P > 0.05). However, the numbers of antral follicles in both the right and left ovaries were significantly lower in the IIAL group than in the control group (P < 0.05). Ovarian volume did not show a significant difference between the groups (P > 0.05).ConclusionThe findings suggest that IIAL leads to a significant decrease in the number of ovarian follicles at 6 months post‐operation. However, it does not significantly impact FSH and LH levels or ovarian volume.

show abstract

Ovarian reserve after internal iliac artery ligation

Abstract: IIAL and hysterectomy are lifesaving interventions during peripartum hemorrhage; however, they might alter ovarian reserve in the short term.

Cited by 4 publications

References 24 publications

Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Effects of Internal Iliac Artery Ligation on Stress and Urge Incontinence: A Retrospective Evaluation

The impact of internal iliac artery ligation on hormonal and functional ovarian reserve parameters: A case–control study in patients with postpartum hemorrhage in sub‐Saharan Africa

Contact Info

Product

Resources

About