Hysterectomy and Myomectomy vs Uterine Artery Embolization for Symptomatic Fibroids and Adenomyosis: National and Regional Trends and Adverse Events in 70,000 Patients.

Purpose: To compare patient characteristics, regional utilization, and post-operative outcomes between uterine artery embolization (UAE), myomectomy and hysterectomy for fibroids and adenomyosis, and assess whether post-operative adverse events were more common after hysterectomy.

Materials And Methods: This observational study identified all women who underwent UAE, myomectomy or hysterectomy for fibroids or adenomyosis from 2016-2019 in the US, using TriNetX, a multi-institution database of anonymous health records, yielding 78,758 patients, (UAE: 2,505; hysterectomy: 60,333; myomectomy: 15,920). Regional procedure utilization was assessed.