Uterine artery embolization

Utilized to treat uterine fibroids.

Complication rate approximately 1%.

Complications include: procedure related groin hematomas, infection at the arterial puncture site, guide-wire perforation of the arteries and thromboembolic phenomena, fever, malaise, pelvic pain, endometritis, ischemia of pelvic organs, uterine necrosis and procedure failure.

It is used in frequently and women of reproductive age because of concerned about potential adverse effects on fertility.
FEMME trial compared uterine artery embolization with myomectomy in fibroid related quality of life at two years in women who had symptomatic uterine fibroids: myomectomy resulted in a significant better quality of life and lower symptom severity than uterine artery embolization, although both procedures resulted in substantial improvement compared with baseline.

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