Abstract
Uterine artery embolization (UAE) is an effective and safe treatment option for uterine fibroids which are present in 25—45% of women older than 35 years. In view of the HIV/AIDS pandemic in South Africa it was decided to evaluate the influence of HIV on UAE. Sixty-two patients (50 HIV negative and 12 HIV positive patients) were treated with UAE for uterine fibroids. Embolization was performed with unilateral femoral arterial access and sequential catheterization of each uterine artery. Complications were recorded as follows: post-embolization syndrome fibroid slough failure to embolize patients receiving hysterectomy for complications and the development of hematomas and infection related to the procedure within 6 weeks. Patients developing infection were staged according to the Gainesville classification of pelvic inflammatory disease and treated accordingly. Infective complications were evaluated separately according to CD4 counts. (excerpt)
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