Comparison of pregnancy course and outcomes in patients with uterine fibroids following uterine artery embolisation or myomectomy

Aim. To determine the optimal surgical treatment for uter­ine fibroids in patients with unfulfilled reproductive through the analysis of pregnancy course and outcomes following uterine artery embolization (UAE) and myomectomy. Ma­terials and Methods. The study assessed pregnancy course and outcomes, as well as neonatal conditions, in 147 patients including those who: 1) underwent UAE; 2) underwent myo­mectomy; 3) had untreated uterine fibroids; 4) did not have uterine fibroids. Data collection was conducted retrospec­tively by reviewing medical records, including case histo­ries, pregnancy and delivery records, and newborn histories. Results. There have been significant differences in pregnan­cy complications and delivery methods among the women who received distinct surgical treatments for uterine fibroids (myomectomy vs. UAE). In the third trimester, placental ab­normalities were more frequent after UAE (12.5%) that af­ter myomectomy (2.9%) but cesarian delivery was performed twice as low (47.0% vs. 94.3, respectively). Subsequent preg­nancy risks were higher among the patients who had under­gone myomectomy, as 50% of them experienced fibroid re­currence during the pregnancy and there were scars on the uterus as a result of myomectomy and cesarean section. Con­clusion. No new fibroid nodules as well as growth or vas­cularization of existing fibroids were observed after UAE, suggesting that it can be considered as a preferred treatment option, particularly for women who have not yet completed their reproductive plans.