• myomectomy;
  • uterine artery embolisation;
  • uterine fibroids

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.