Abstract
were still experiencing menses and all reported significantly less menstrual bleeding. 12 women (60%) reported pre-procedural bulk symptoms and 10/12 (83%) described these as improved. 16/20 (60%) had post procedural MRI with an average decrease in uterine volume of 39%. 17/20 (85%) women were satisfied with the procedure and would undergo UAE again. Complications included one patient who developed tuboovarian abscesses and experienced large volume fibroid expulsion requiring drainage of abscesses and a vaginal myomectomy. Small volume fibroid expulsion not requiring further treatment occurred in 2 women (10%) and 3 women (15%) experienced post-procedure pain requiring treatment with IV narcotics in the emergency room. Conclusion: UAE outcomes in patients with megauterus are comparable to prior studies. Megauterus alone should not be a contraindication to UAE and may not be a key factor in predicting successful outcome of UAE.
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