Uterine Artery Embolization as a Treatment Option for Uterine Myomas

Results from clinical series indicate that uterine artery embolization (UAE) improves pelvic symptoms and excessive uterine bleeding that are caused by uterine leiomyomata. Randomized controlled trials have not been conducted to provide data on the long-term efficacy and risks of UAE compared with conventional surgical options. Even without controlled studies, demand for this procedure has increased rapidly. UAE may be considered an alternative to hysterectomy, or perhaps myomectomy in well-selected cases. Posttreatment hospitalization and recovery tend to be shorter after UAE compared with hysterectomy. UAE should not be recommended routinely for women who desire future fertility. Collaborative efforts between gynecologists and interventional radiologists are necessary to optimize the safety and efficacy of UAE.