Martha Hickey1, Ian Hammond. 1. School of Women's and Infants Health, King Edward Memorial Hospital, University of Western Australia, Perth, Western Australia, Australia. mhickey@obsgyn.uwa.edu.au
Abstract
BACKGROUND: Uterine artery embolisation (UAE) is an alternative to surgical management for symptomatic uterine fibroids and is increasingly performed in Australia. AIMS: To review the evidence for the efficacy, safety and acceptability of UAE and to evaluate the place of UAE in Australia. METHODS: The study used literature review. RESULTS: UAE compares favourably to hysterectomy and myomectomy in terms of short-term symptom relief, cost, patient satisfaction and complications. There is a paucity of evidence regarding fertility and pregnancy after UAE. A significant minority of women require re-intervention following UAE. CONCLUSIONS: UAE should be considered as an alternative to surgical management of symptomatic uterine fibroids in carefully selected and informed patients.
BACKGROUND: Uterine artery embolisation (UAE) is an alternative to surgical management for symptomatic uterine fibroids and is increasingly performed in Australia. AIMS: To review the evidence for the efficacy, safety and acceptability of UAE and to evaluate the place of UAE in Australia. METHODS: The study used literature review. RESULTS: UAE compares favourably to hysterectomy and myomectomy in terms of short-term symptom relief, cost, patient satisfaction and complications. There is a paucity of evidence regarding fertility and pregnancy after UAE. A significant minority of women require re-intervention following UAE. CONCLUSIONS: UAE should be considered as an alternative to surgical management of symptomatic uterine fibroids in carefully selected and informed patients.
Authors: Piotr Czuczwar; Sławomir Woźniak; Piotr Szkodziak; Ewa Woźniakowska; Maciej Paszkowski; Wojciech Wrona; Paweł Milart; Tomasz Paszkowski; Michał Popajewski Journal: Prz Menopauzalny Date: 2014-09-09