Surgical or non-surgical treatment of uterine fibroids That’s the question

Women with uterine fibroids (Myomas) have a stronger desire for non-surgical treatment of their fibroids to preserve their uterus and potential fertility. What are the pros and cons of such non-surgical treatments and what effects do these treatments have on the patient’s long-term prognosis How do we, as gynaecologists, treat patients with such requests What about the lack of histology and risk of fibrosarcoma What are the questions, answers, and controversies to non-surgical treatments of uterine fibroids The most common benign tumour of the uterus are Fibroids. Studies have shown that uterine fibroids are prevalent in 50% of women at the reproductive age and the cumulative incidence of fibroids by the age of 50 are 70% in white women and > 80% for African Americans.Usually the symptomatic patients seek treatment. The current treatment options are; medical and minimally invasive surgical (Laparoscopy myomectomy), and non-surgical procedures.The non-surgical procedures consist of:MRgFUS (Magnetic resonance guided focused ultrasound): using ultrasound energy to heat and destroy the fibroids.UAE (Uterine artery embolization): where an interventional radiologist uses a catheter to deliver small particles that block the blood supply to the uterine body.These treatment options, and their complications and controversies, will be discussed in full at the congress with attendees.