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

摘要

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.