[Embolization of uterine artery: a new treatment for uterine myomas]

Uterine myomas are a common cause of menorrhagia and other complaints, and a common indication for hysterectomy. For several years now, bilateral uterine artery embolisation has been applied as an alternative to surgery. The effectiveness of this treatment modality in controlling abnormal bleeding patterns and in reducing uterine size, as described in early reports, seems to be confirmed in larger series of patients. However, the disadvantages have also become apparent, with subsequent ovarian failure and sepsis being the most worrisome complications. Data from randomised clinical trials comparing uterine embolisation versus hysterectomy in the treatment of uterine myomas are still lacking.