From: Women seeking second opinion for symptomatic uterine leiomyoma: role of comprehensive fibroid center
Treatment | Inclusion criteria | Exclusion criteria |
---|---|---|
MRgFUS | • Single, dominant if <10 cm | • Degenerated or pedunculated |
• Multiple (≤5 fibroids) if <5 cm | • Hyperintense signal on T2-weighted (hypercellular) MRI | |
• Desires fertility | ||
UAE | • Intermediate (5–10 cm) to large (>10 cm) fibroids | • Degenerated or pedunculated |
• Multiple >5 fibroids | • Desires fertility (relative contraindication) | |
Myomectomy (robotic-assisted, hysteroscopic, or open) | • Desires fertility | • Poor surgical candidate (significant comorbidities) |
• Small (<4 cm) intracavitary | ||
• Pedunculated | ||
Hysterectomy | • Failed first-line treatment | • Poor surgical candidate (significant comorbidities) |
• Desires fertility |