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Fibroids treated by uterine artery embolization. A review
1Department of Obstetrics and Gynecology, Odense University Hospital, Denmark.
Acta Obstetricia Et Gynecologica Scandinavica
|November 18, 2000
Summary
Uterine artery embolization (UAE) is a successful treatment for uterine fibroids, preserving the uterus. This radiological procedure offers high success rates and patient satisfaction with few complications compared to hysterectomy.
Area of Science:
- Interventional Radiology
- Gynecology
Background:
- Uterine fibroids affect many women, impacting reproductive health.
- Uterine artery embolization (UAE) is emerging as a viable treatment option.
- Patient desire to retain the uterus influences treatment choices.
Purpose of the Study:
- To review the technical aspects of UAE for uterine fibroids.
- To summarize the efficacy and safety outcomes of UAE.
- To assess patient satisfaction following UAE.
Main Methods:
- UAE involves radiological guidance via angiography.
- Selective catheterization of uterine arteries is performed.
- Embolic agents are used to occlude arterial flow, causing fibroid infarction.
Main Results:
- High success rates reported, reaching 87%.
- Significant average fibroid volume reduction of 57%.
- Low complication rates compared to hysterectomy; high patient satisfaction.
Conclusions:
- UAE is a promising uterine-sparing treatment for fibroids.
- Further controlled studies are necessary.
- Optimization of patient selection and long-term outcome evaluation are needed.