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Obstetrics and Gynecology InternationalVolume 2012 2012, Article ID 290542, 5 pages

Review Article

Department of Obstetrics & Gynaecology, Institute for Women-s Health, University College London and University College London Hospitals NHS Foundation Trust, London NW1 2BU, UK

Mammalian Oocyte & Embryo Research Laboratory, Division of Biosciences, Department of Cell and Developmental Biology, University College London, London WC1E 6BT, UK

Reproductive Medicine Unit, EGA Wing, Institute for Women-s Health, University College London and University College London Hospitals NHS Foundation Trust, London NW1 2BU, UK

Received 16 August 2011; Accepted 27 September 2011

Academic Editor: Bharat Bassaw

Copyright © 2012 Maria Memtsa and Hayden Homer. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Uterine artery embolisation UAE is a relative newcomer to the mainstream treatment modalities available for fibroid-related problems. The efficacy of UAE is indisputable and has been shown to be comparable to hysterectomy in the short term in large-scale trials. Moreover, compared with hysterectomy, UAE is less invasive, carries a superior risk profile, and, importantly, preserves the uterus. UAE therefore offers patients symptom relief whilst at the same time retaining reproductive potential. Notably however, although women can have successful pregnancies following UAE, it is becoming increasingly evident that pregnancies after UAE are more risky especially during the early stages. Long-term outcome data from randomised trials involving UAE have very recently become available and show that whilst high satisfaction rates previously identified during early-stage followup are sustained, one notable drawback is a substantial risk of reintervention. It remains to be seen how this facet of UAE will impact on its future uptake.





Autor: Maria Memtsa and Hayden Homer

Fuente: https://www.hindawi.com/



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