Uterine artery embolisation for the management of myomata in patients without complaints of menorrhagia

Uterine artery embolisation (UAE) has been performed largely in patients co mplaining of menorrhagia associated with myomata. Many patients also suffer from bulk-related symptoms. In this series, patients were retrospectively divided into three groups based upon their initial complaints: menorrhagia alone, both menorrhagia and bulk-related symptoms, and patients complaining of only bulk-related symptoms. UAE had similar rates of success for contro l of patient symptoms in all three groups and caused similar decreases in u terine volumes in all groups. A large portion of patients who initially com plained only of bulk-related symptoms also reported significant improvement in bleeding after UAE. A smaller, but significant portion of patients who initially complained only of menorrhagia also experienced significant impro vement in symptoms associated with fibroid bulk several months after UAE. U AE shows significant success in control of menorrhagia and bulk-related sym ptoms, regardless of patient complaints.