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Uterine artery embolization for symptomatic fibroids
A Prollius1, C de Vries, E Loggenberg
1Department of Obstetrics and Gynecology, University of the Free State, Bloemfontein, South Africa. almereau@worldonline.co.za
Summary
Uterine artery embolization (UAE) effectively treats symptomatic fibroids, significantly improving bleeding, pain, and bulk symptoms. This safe procedure offers high patient satisfaction with minimal complications.
Area of Science:
- Interventional Radiology
- Gynecologic Surgery
- Vascular Interventions
Background:
- Uterine fibroids cause significant symptoms like heavy bleeding and pain.
- Uterine artery embolization (UAE) is a minimally invasive treatment option.
Purpose of the Study:
- To evaluate the effectiveness and safety of UAE for symptomatic fibroids.
- To assess symptom improvement and fibroid volume reduction post-UAE.
Main Methods:
- Sixty-one patients with symptomatic fibroids underwent UAE.
- Follow-up assessments were conducted at 3 and 12 months post-procedure.
Main Results:
- UAE demonstrated high symptom improvement rates: heavy bleeding (90%), abdomino-pelvic discomfort (88%), and dyspareunia (90%).
- Median uterine volume reduction was 37.7% at 12 months.
- 91% of patients reported satisfaction with the procedure, with only minor complications.
Conclusions:
- Uterine artery embolization is an effective and safe treatment for symptomatic fibroids.
- Successful UAE can be performed in centers with appropriate expertise, including in Africa.