Uterine Artery Embolization for Fibroid-Service Evaluation in a Tertiary Care Hospital

Objectives: UAE has been a treatment option since 1995 and confers advantage over surgical treatment options such as myomectomy. We retrospectively looked at our practice of fibroid embolization using guidance published by the Royal College of Radiologists (RCR) and the Royal College of Obstetricians and Gynaecologists. Methods: Ninety-three patients underwent UAE for fibroids over a consecutive 24-month period (September 2016 to September 2018). Technical and clinical data were gathered retrospectively for each patient and compared to standards outlined by RCR, UK. Results: Magnetic resonance imaging before the procedure was done in 92 patients and all relevant information was provided in 95% cases. Technical success rate was 97%. Mean screening time and dose area product was 13 min and 70 Gy/cm² respectively. Documentation of technical parameters was incomplete in 11 out of the 93 patients (12%). The most common complication was postembolization syndrome requiring admission and vaginal discharge which were both 4%. An emergency total abdominal hysterectomy was required in three patients for endometritis (2) and acute hemorrhage (1). Conclusion: These data indicate that our center is performing well within radiation safety targets and that our minor complication and follow-up rates are within national targets. Documentation, admission rates greater than 24 h and major complication rate are not reaching targets. Moving forward, we aim to maintain technical success rates and continue to practice according to the as low as reasonably practicable principle. We also aim to inform and educate and work with colleagues to improve documentation, reduce admission rates, and reduce major complication rates.

Publication History

Article published online:
26 April 2021