This book provides a state-of-the-art review of the technical and clinical aspects of the vascular interventional radiological (IR) procedures currently employed in obstetrics and gynaecology. A particular focus is on uterine artery embolisation for fibroid disease, which is contrasted with the main alternative uterus-conserving surgical approach of myomectomy, and with ablation therapy. Detailed consideration is also given to the role of embolisation in a variety of other less common conditions, including arteriovenous malformations, post-partum haemorrhage, abnormal placentation and pelvic congestion syndrome. IR procedures are examined from a critical gynaecological perspective and with regard to surgical alternatives. The authors include leading interventional radiologists and gynaecologists from the United Kingdom, Europe and North America.

The History and Epidemiology of Fibroids

Medical Treatment of Fibroids
Clinical presentations of fibroids
Gynaecological assessment prior to UAE
Imaging of fibroids pre and post-UAE
Indications and contraindications
Embolisation Techniques
Choice of Embolisation materials
Clinical results of fibroid embolisation, trials and registries
Complications of fibroid embolisation
When to consider Ovarian embolization
Early Post UAE management
Post UAE problems and management
The role of a repeat UAE procedure
Myomectomy techniques
Myomectomy results and complications
Myomectomy after UAE Gynae
There is a role for UAE in women with symptomatic fibroids and fertility goals
UAE is not recommended for women with future fertility goals
Costing issues and UAE in the developing world
Who can and should do UAE
Is there a place for UAE in Adenomyosis
The role for Focussed Ultrasound ablation in the treatment of Fibroids
Bleeding in Obstetrics: Obstetric Management of Post-Partum Haemorrhage
Embolisation in Post-Partum Haemorrhage
The problem of abnormal Placentation and is there a role for Interventional Radiology
Pelvic Congestion Syndrome: Clinical Significance of Pelvic Congestion Syndrome
Embolisation in Pelvic Congestion Syndrome.