Uterine artery embolisation for symptomatic fibroids: the University of Malaya Medical Centre experience
2010

Uterine Artery Embolisation for Symptomatic Fibroids

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): Subramaniam RN MBBS, MMed, Vijayananthan A MBBS, MRad, Omar SZ MBBS, MMed, Nawawi O MBBS, MRad, FRCR, Abdullah BJJ MBBS, FRCR

Primary Institution: University of Malaya Medical Centre

Hypothesis

Is uterine artery embolisation a safe and effective alternative to surgery for women with symptomatic fibroids?

Conclusion

Uterine artery embolisation is a safe and effective treatment for symptomatic fibroids, with many patients experiencing significant symptom relief.

Supporting Evidence

  • 90% of patients reported improvement in symptoms after 1 year.
  • 17 patients had total disappearance of their fibroids after 1 year.
  • 28 patients had more than 50% reduction in fibroid size after 1 year.
  • 5 patients underwent total abdominal hysterectomy after UAE.

Takeaway

Doctors used a special procedure to help women with painful fibroids without needing surgery, and most felt better afterward.

Methodology

Fifty women with symptomatic fibroids were treated with transcatheter uterine artery embolisation, followed by clinical and MRI follow-ups.

Limitations

The follow-up period of 1 year is too short, and a standard quality-of-life questionnaire was not used.

Participant Demographics

Women aged 38 to 52 years, with a mean age of 43, presenting with symptomatic fibroids.

Digital Object Identifier (DOI)

10.2349/biij.6.3.e27

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