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Uterine Artery Embolization for Adenomyosis
1Department of Radiology at the University of Alabama at Birmingham, Birmingham, AL.
Techniques in Vascular and Interventional Radiology
|June 20, 2021
Summary
Uterine artery embolization (UAE) shows promise for adenomyosis symptom relief, similar to uterine fibroids. However, further research is needed to standardize protocols and improve evidence for its widespread use in treating this gynecologic condition.
Area of Science:
- Gynecologic health
- Interventional radiology
Background:
- Adenomyosis is a benign uterine condition with less established treatment algorithms compared to uterine fibroids.
- Uterine artery embolization (UAE) is a recognized treatment for uterine fibroids.
Purpose of the Study:
- To evaluate the effectiveness and nuances of UAE for symptomatic adenomyosis.
- To highlight the need for further research and standardization in UAE for adenomyosis.
Main Methods:
- Review of existing literature on UAE for adenomyosis.
- Comparison of UAE protocols and outcomes in adenomyosis versus uterine fibroids.
Main Results:
- UAE has demonstrated effectiveness for symptomatic adenomyosis.
- Nuances in UAE protocol and outcomes exist for adenomyosis compared to fibroids.
- Limited high-quality evidence currently supports generalized UAE use for adenomyosis.
Conclusions:
- UAE is a viable option for symptomatic adenomyosis, but requires protocol refinement.
- A standardized classification system and technique are crucial for advancing UAE utility in adenomyosis.
- More robust evidence is needed to support the widespread application of UAE for adenomyosis.
