Abstract:
BACKGROUND : Uterine artery embolisation for the treatment of symptomatic uterine fibroids is
a relatively new but internationally recognised procedure. The present study seeks to report
the results of the largest South African series of uterine artery embolisations for symptomatic
fibroids to date. It is the fourth article to be published in South Africa on the outcomes of this
procedure, and the largest South African series to date.
OBJECTIVE : To evaluate the long-term efficacy of uterine artery embolisation in women with
symptomatic fibroids in a tertiary hospital in South Africa.
METHODS : Eighty-two women who presented for uterine artery embolisation at a single site in
South Africa for symptomatic fibroids were retrospectively studied. Outcomes included
recurrence and re-intervention rates, patient satisfaction and complication rate.
RESULTS : Two patients required repeat embolisation, and one patient experienced fibroid
recurrence without further intervention. No repeat myomectomies were performed. Eighty
percent of patients reported being satisfied, 12% partially satisfied and 7% not satisfied. No
major complications were reported.
CONCLUSION : Uterine artery embolisation was shown to be a good choice in the treatment of
symptomatic fibroids and presents favourable long-term outcomes in the South African
population.
