William D. Voorhees

Objective: To evaluate the success rate of uterine artery embolization for leiomyomata for women under 40 years of age. Material and methods: This observational study of fibroid treatment in women under 40 years of age at the time of procedure was conducted at a private practice located in Los Angeles, CA. One hundred and four patients participated in the study. The study involved a pre- and post- UAE survey of symptoms evaluated on a scale of mild, moderate, or severe. The post UAE assessment also involved an indication of whether the patients would recommend UAE. Patients were surveyed concerning subsequent pelvic surgery and pregnancy. Results: Comparison of pre- and post- survey data resulted in an overall success rate of 90.4% based on relief of symptoms. Patients reported no late onset failures. Several patients underwent full-term pregnancies. 6.7 % of patients underwent abdominal myomectomy following UAE. No patient underwent hysterectomy. Conclusion: No significant difference exists in the success rate of UAE for women under 40 and the entire cohort of women undergoing UAE. UAE is a suitable form of treatment for women in this age group.