Uterine Artery Embolization versus Abdominal Myomectomy: A Long-term Clinical Outcome Comparison

Anand Narayan, Adrea S. Lee, George P. Kuo, Neil Powe, Hyun S. Kim

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

Purpose: To assess long-term clinical effectiveness of uterine artery embolization (UAE) compared with abdominal myomectomy. Materials and Methods: Women who received UAE (n = 87) or abdominal myomectomy (n = 98) for symptomatic uterine leiomyomata between 2000 and 2002 at a single institution were consecutively enrolled in this study. Patients whose procedures were performed within 5 years before the study were included. Symptom evaluations with symptom severity scores, pregnancy rates, and satisfaction with the procedures were obtained via institutional review board-approved questionnaires. Chart reviews were performed to supplement analyses. Results: The retrospective cohort included 185 patients, of whom long-term follow-up was completed by 89 patients (48.1%), 48 being treated with UAE, and 41 with myomectomy. Follow-up ranged from 50 to 83 months. A higher but not statistically significant number of patients received repeat interventions after abdominal myomectomy (14%) versus UAE (8%; P = .204). Significantly higher symptom severity score improvements were seen in patients treated with UAE versus abdominal myomectomy (34 vs 31; P = .02). UAE recipients were less likely to attempt to get pregnant (P = .02), but those who did had a 66.7% success rate compared with 58.8% for patients who underwent myomectomy. Similar numbers of patients between groups were satisfied with the procedure (P = .57), reported effectiveness of symptom relief (P = .43), and would recommend the procedure to others (P = .37). Conclusions: UAE results in long-term clinical success with outcomes comparable or superior to those of abdominal myomectomy.

Original languageEnglish (US)
Pages (from-to)1011-1017
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume21
Issue number7
DOIs
StatePublished - Jul 2010
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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