OGCO-E25 Protocol for uterine artery embolisation for the treatment of symptomatic uterine fibroid

Question 1

Patient selection criteria for UA embolization of symptomatic uterine fibroid?

Answer 1

• Women with symptomatic fibroids who might otherwise be advised to have surgical treatment
• Women with symptomatic fibroids where anticipated multiple or difficult myomectomy
• Women with symptomatic fibroids but wish to avoid surgery or unwilling to receive a blood transfusion
• Women indicating desire for future pregnancy should only be offered after fully informed discussion about the limitations of such a procedure and the relative lack of existing data regarding future fertility and pregnancy outcomes, and should only be considered on a case-by-case basis.

Question 2

What is the patient exclusion criteria for UA embolization of symptomatic uterine fibroid?

Answer 2

• Evidence of current genitourinary infection and/or malignancy
• Refusal to undergo hysterectomy following peri- or post-UAE complications
• Evidence of pregnancy
• Asymptomatic uterine fibroids / predominant adenomyosis
• Uterine malignancy was suspected
• Concurrent use of a GnRH agonist
• Evidence of pedunculated submucosal fibroids, dominant pedunculated
  subserosal fibroids (attachment point <50%)
• History of allergic reaction to contrast medium and renal impairment