Embolização de artéria uterina para tratamento de leiomiomas sintomáticos e refratários: revisão sistemática.

Abstract

This study aims to understand the effectiveness of Uterine Artery Embolization (UAE) for the treatment of refractory symptomatic leiomyomas. It is a systematic review with a qualitative approach and descriptive objective. The studies included in the review were selected from the Cochrane, PubMed/Medline, and Virtual Health Library databases. The review followed the following steps: formulation of the research question, selection of inclusion and exclusion criteria, development of the search strategy, selection of eligible studies, quality assessment of the studies, presentation of results, and writing of the discussion. The evidence showed that, regarding the improvement of symptoms presented by the patients, the studies demonstrated significant improvement in all cases, within varying time intervals post-procedure. Uterine Artery Embolization emerges as an effective alternative in the treatment of symptomatic uterine leiomyomas. The studies consistently show a significant reduction in symptoms related to uterine fibroids after embolization. Therefore, it is understood that this minimally invasive technique offers good resolution for the symptoms of refractory uterine leiomyomas. Compared to invasive surgical approaches, it demonstrates superiority in terms of hospitalization time and costs, actual surgical time, and quicker return to work activities.