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Uterine Embolization

The 2016 NICE (National Institute of Clinical Excellence – the non-governmental public body that publishes guidelines in the use of health technologies and good clinical practice in the United Kingdom) guidelines state UAE/UFE can be offered to women with symptomatic fibroids ( fibroids being usually >30mm in size). Women should be informed that UAE and myomectomy (the surgical removal of fibroids) may potentially allow them to retain their fertility.

Prostate Embolization

Suitable candidates: men who suffer from lower urinary tract symptoms due to particularly large prostates i.e. prostate weight >60grams (and thus not suitable for TURP) have only limited surgical options. The surgical option is a complete prostatectomy which is very invasive and carries a substantial morbidity. These men normally have failed on conservative medical management. Under these circumstances, Prostate Artery Embolization (PAE) becomes a viable alternative. A large gland is more likely to respond to embolization and yield at least some relief from the symptoms without the significant side effects seen with open surgery.