Uterine fibroids: alternative treatments to surgery

By Dr Leto Mailli
Interventional radiology

Dr Leto Mailli is a Consultant Interventional Radiologist at St George’s Hospital and a Senior Honorary Lecturer at St George’s University of Medicine in London. She has completed her Interventional Radiology fellowship at Guy’s and St Thomas Hospital of London. She is the lead of undergraduate radiology at St George’s University of Medicine, thus heavily involved with teaching and the lead interventional radiologist for major trauma in this big, busy trauma centre.

Leto holds a PhD, MsC and Masters in interventional radiology. She was awarded 4 funded grants for research and training while both her PhD and Master thesis was scored “excellent”. She is recognised by the European Board of Interventional Radiologist gaining the EBIR title. She is also a member of the cardiovascular and interventional radiology society of Europe.

Leto has been invited as a moderator, speaker and trainer in international conferences and has given more than 100 lectures in national and international conferences. She is actively publishing in scientific journals and is a co-investigator in several research trials.

In regards to her clinical activities and interests, she is interested in trauma and as a lead interventional radiologist for major trauma she is involved in setting pathways, raising awareness, auditing and optimising the quality of IR trauma services. 

Apart from the trauma, she is particularly interested in innovative endovascular treatments for both arterial and venous diseases (ranging from varicose veins, peripheral arterial disease, vascular malformations, aneurysm embolization and others). She has been a co-investigator in several large trials associated with innovative endovascular peripheral vascular interventions and has been invited several times as an instructor in international conferences. 

Gynaecologic interventions is another area of interest that she is passionate about as it involves female health and wellbeing. She is part of a multidisciplinary team addressing problems such as fibroids, adenomyosis, pelvic congestion syndrome and postpartum haemorrhage. She is active in these areas both clinically and research-wise. She specialises in new innovative minimally invasive techniques “pin-hole surgery” to address the above problems. She has published her series on postpartum haemorrhage and recently on imaging findings following fibroid embolization. She has been invited in international conferences both as a lecturer and leading expert forum on fibroids. She has also contributed as co-investigator in a large multicentre randomised control trial across the UK for the management of fibroids.