Uterine artery embolization versus total abdominal hysterectomy as a treatment modality: a comparative study of clinical outcomes and patient satisfaction in women with uterine fibroids ≤10 cm

Chuni Sangmu Bhutia; Pratibha Garg; Manohar Singh Rathore

doi:10.18203/2320-1770.ijrcog20263415

Authors

Chuni Sangmu Bhutia Department of Obstetrics and Gynecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
Pratibha Garg Department of Obstetrics and Gynecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
Manohar Singh Rathore Department of Obstetrics and Gynecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20263415

Keywords:

Hysterectomy, Minimally invasive treatment, Patient satisfaction, Uterine artery embolization, Uterine fibroids

Abstract

Background: Uterine fibroids are the most common benign tumours affecting women of reproductive age. Total abdominal hysterectomy (TAH) is the definitive treatment, while uterine artery embolization (UAE) is a minimally invasive alternative. This study compares clinical outcomes and patient satisfaction between UAE and TAH.

Methods: A prospective observational study including 30 women with symptomatic uterine fibroids ≤10cm. Patients were divided into two groups: UAE(n=15) and TAH (n=15). Follow-up was done at 3 months, 6 months and 1 year.

Results: UAE showed shorter operative time, reduced blood loss, less postoperative pain and shorter hospital stay compared with TAH. Fibroid reduction up to 60% at one year was observed in the UAE group. Psychological well-being improved in 80% of UAE patients and 75% of TAH patients.

Conclusions: UAE is a safe and effective minimally invasive alternative to hysterectomy for symptomatic fibroids ≤ 10cm with high patient satisfaction and faster recovery.

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