Review of the evidence for treatment of leiomyomata

Leiomyomata of the uterus are common tumors of women, and a number of treat ments are now available for symptoms of this disorder. Surgical treatments include hysterectomy, abdominal myomectomy, laparoscopic myomectomy, and my olysis. Nonsurgical treatments include uterine artery embolization and medi cal therapy. All have a small amount of accumulated data, but existing stud ies are generally small and of poor quality. There is a strong need for app ropriately designed and analyzed randomized clinical trials, and surgical t rials should preferably be multicenter/multisurgeon. In summary, although a large array of options exist, there are still little data upon which to ba se decisions regarding optimal treatment approaches.