Evaluation of most adequate pain medication in uterine artery embolisation for fibroma: PCA versus Epidural Analgesia.

INTRODUCTION
During and after uterine artery embolization for uterin leiomyomata most patients experience severe pain, which was not controlled with current pain medication (PCM, diclofenac and dipidolor). Therefore this method was replaced by means of personal controlled analgesia. Unfortunately PCA was not sufficient to reduce pain to acceptable levels. Based on its promising results used in other procedures, we will compare the use of epidural analgesia with PCA.

Epidural Analgesia shows promising results in other procedures and is therefore thought to be effective in embolization of uterine leiomyomata as well.

1. NRS: before, 1, 3, 6, 24 after treatment
2. questionnaire (phone call): 2 and 4
weeks after discharge.

3. overall satisfaction: 3 months after
discharge

Uterine artery embolization

group 1: PCA (morphin + ketamin)

group 2: epidural analgesia (bupivacain/naropin)

both groups: PCM, diclofenac, tramadol