What is the place of uterine artery embolisation in the management of symptomatic uterine fibroids?

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.