Uterine Artery Embolization (UAE) for Fibroid Treatment: Results of the 6th Radiological Gynecological Expert Meeting.

Uterine artery embolization (UAE) is an established, organ-preserving, safe and effective procedure in the therapeutic spectrum treatment of fibroid-related symptoms. The aim of UAE is the reduction or elimination of fibroid-related symptoms, but not the removal of the myoma. However, it also accomplishes a reduction of the size of the fibroid. There is a consensus between the disciplines of gynecology and radiology that an indication for treatment of uterine fibroids (leiomyoma) should be made after examination and consultation of a gynecologist. Comprehensive advice regarding treatment options for symptomatic uterine fibroids encompasses not only medical treatment and surgical options, but also non-surgical therapy options explicitly including uterine artery embolization. The decision for or against an alternative therapy should be made taking into account the patientʼs desire for, and knowledge of, therapeutic alternatives, their chances of success and limitations, as well as typical side effects and possible complications (informed decision). Uterine artery embolization is a therapeutic procedure which is available in Germany, Austria and Switzerland for patients with fibroid-related symptoms and provides further individualization of therapy in cases of uterine fibroids.