Table 3 Problems of embolisation and laparascopic ligation of uterine arteries

Necrosis of myoma and its consquences

·Prolonged inpatient stay for high-dose analgesia

·Non-selctive embolisation and uncontrolled occlusion of ovarian or tubarian anastomoses

·No histology

·High rates of further invasive treatment

·High rate of complications

·Non-standardised procedures

·No long-term follow-up of endocrine consequences available at present

·Ovarian failure and unwanted loss of fertility

·Endometrial atrophy

·Underdiagnosis of malignancy (rate of sarcoma 0.5%)

·Revascularisation

Laparascopic ligation

·No standardisation

·Low level of evidence, low number of cases

·Only few studies on long-term outcome, but low rates of complications and easily accessible during staging laparascopy