Main results
8 studies were identified. UAE was associated with lower complication
rates (OR 0.56; 95% CI 0.40-0.79), increased improvement in bleeding
(OR 1.61 95% CI 1.07-2.43) and a shorter total recovery time (7.72 days
versus 36.63 days). Whilst myomectomy was associated with a higher
post-procedure quality of life (mean difference -10.56; 95% CI -15.34 -
-5.79) and lower re-intervention rate (OR 5.16; 95% CI 2.41-11.04). No
significant difference in procedural failure rate was seen (OR 0.67;
95% CI 0.30-1.50). Given concerns with UAE and future fertility limited
post-procedure fertility outcomes were identified.
Conclusions: Given differences in efficacy profiles a
personalised approach to treatment discussions should be maintained.
Funding: None
Keywords: Uterine artery embolization, myomectomy, uterine
fibroid
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