Human Reproduction Update, Vol.6, No.6 pp.603-608, 2000
© European Society of Human Reproduction and Embryology 2000; all rights reserved
Embolization of uterine leiomyomata: current concepts in management
1 Departments of Radiology, and Obstetrics and Gynaecology, Guy’s and St Thomas’ Hospital, London UK SE1 7EH, UK
To whom correspondence should be addressed at: Peter Braude, GKT Department of Obstetrics and Gynaecology, Guy’s and St Thomas’ Hospital, London UK SE1 7EH, UK. Phone: +44 (0)20 7922 8105; Fax: +44 (0)207 620 1227; e-mail: obgyn {at}kcl.ac.uk
Abstract
Transcatheter bilateral uterine artery embolization is a relatively new, but fast increasing modality being offered as an alternative to surgery for the treatment of symptomatic uterine fibroids (myomata). Since its introduction in 1995, it is estimated that over 5000 procedures have been performed, despite little objective evidence of its efficacy in comparison with more traditional surgical procedures, e.g. hysterectomy, abdominal or laparoscopic myomectomy or hysteroscopic procedures. The enthusiastic uptake of uterine artery embolization is partly due to the fact that it can be performed as a day case, and is a means of avoiding surgery especially hysterectomy. However, the procedure is not without significant risks, and these are becoming clearer as more procedures are being reported. This review examines the procedure, its use and purported efficacy and discusses its complications and potential hazards.
Key words: complications / uterine artery embolization / uterine leiomyomata
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