What is the place of uterine artery embolisation in the management of symptomatic uterine fibroids?

Authors

  • Martha HICKEY,

    1. School of Women's and Infants Health, King Edward Memorial Hospital, University of Western Australia, Perth, Western Australia, and
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  • Ian HAMMOND

    1. School of Women's and Infants Health, King Edward Memorial Hospital, University of Western Australia, Perth, Western Australia, and
    2. Western Australian Gynaecological Cancer Service, King Edward Memorial Hospital, Subiaco, Western Australia, Australia
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: Professor Martha Hickey, School of Women's and Infants Health, King Edward Memorial Hospital, University of Western Australia, Perth, WA, Australia. Email: 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.

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