“…Transcatheter arterial embolization aims to minimize invasiveness and preserve fertility, whereas hysterectomy is performed in cases of failed embolization or when the patient has no desire to preserve fertility [ 2 ]. There are only a few case reports of uterine AVM being surgically treated with preoperative embolization [ 4 , 5 ] or intraoperative arterial balloon occlusion [ [6] , [7] , [8] , [9] ].…”