The History and Epidemiology of Fibroids -- Medical Treatment of Fibroids -- Clinical presentations of fibroids -- Gynaecological assessment prior to UAE -- Imaging of fibroids pre and post-UAE -- Indications and contraindications -- Embolisation Techniques -- Choice of Embolisation materials -- Â{u3B29}inical results of fibroid embolisation, trials and registries -- Â{u3BED}mplications of fibroid embolisation -- When to consider Ovarian embolization -- Early Post UAE management -- Post UAE problems and management -- The role of a repeat UAE procedure -- Myomectomy techniques -- Myomectomy results and complications -- Myomectomy after UAE Gynae -- There is a role for UAE in women with symptomatic fibroids and fertility goals -- UAE is not recommended for women with futureÂ{u6972}tility goals -- Costing issues and UAE in the developing Â{u7BF2}ld -- Who can and should do UAE -- Is there a place for UAE in Adenomyosis -- The role for Focussed Ultrasound ablation in the treatment of Fibroids -- Bleeding in Obstetrics: Obstetric Management of Post-Partum Haemorrhage -- Embolisation in Post-Partum Haemorrhage -- The problem of abnormal Placentation and is there a role for Interventional Radiology -- Pelvic Congestion Syndrome: Clinical Significance of Pelvic Congestion Syndrome -- Embolisation in Pelvic Congestion Syndrome.Â{u2802}Â{u2802}Â{u2820} Â{u2802}Â{u2802}Â{u282E}.

This book provides a state-of-the-art review of the technical and clinical aspects of the vascular interventional radiological (IR) procedures currently employed in obstetrics and gynaecology. A particular focus is on uterine artery embolisation for fibroid disease, which is contrasted with the main alternative uterus-conserving surgical approach of myomectomy, and with ablation therapy. Detailed consideration is also given to the role of embolisation in a variety of other less common conditions, including arteriovenous malformations, post-partum haemorrhage, abnormal placentation and pelvic congestion syndrome. IR procedures are examined from a critical gynaecological perspective and with regard to surgical alternatives. The authors include leading interventional radiologists and gynaecologists from the United Kingdom, Europe and North America. Â{uE035}