Uterine Artery Embolization in Tanzania: A Procedure with Major Public Health Implications

Introduction: The burden of uterine fibroids in sub-Saharan Africa is substantial with up to 80% of black women harboring them in their lifetime. With few treatment options currently available in the region, this study explores the potential role of uterine artery embolization (UAE) as an alternative to surgery.

Method(s): A single-center, retrospective cohort study was conducted at Tanzania's first IR service on all patients who underwent UAE for the management of symptomatic fibroids or adenomyosis from October 2018 to April 2022. All UAEs were performed by Tanzanian IR fellows as primary operators. Demographic, clinical baseline, radiological, procedural, and follow-up data were recorded prospectively in a REDCap database. Patients were followed in an outpatient IR clinic. Descriptive statistical analysis was performed.

Result(s): A total of 36 patients underwent UAE for management of symptomatic fibroids and one for adenomyosis during the study period. Of these, 29 (78.4%) presented with abnormal uterine bleeding and 12 (32.4%) with bulk symptoms. No complications were observed and 36/37 (97.3%) UAEs were considered technically successful.

Conclusion(s): This demonstrated capacity in UAE has major public health implications not only for fibroids, but also shows promise to address the region's leading cause of maternal mortality, postpartum hemorrhage.

Publication History

Article published online:
09 February 2023