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What is the place of uterine artery embolisation in the management of symptomatic uterine fibroids?
Author(s) -
HICKEY Martha,
HAMMOND Ian
Publication year - 2008
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2008.00886.x
Subject(s) - medicine , uterine fibroids , hysterectomy , uterine artery embolization , fertility , intervention (counseling) , uterine artery , pregnancy , gynecology , obstetrics , general surgery , surgery , nursing , gestation , population , environmental health , biology , genetics
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.