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Uterine fibroid embolisation

Understanding the Procedure for Uterine Fibroid Embolisation

Frances R. Parks, November 15, 2024

Uterine fibroid embolisation is a minimally invasive procedure used to treat uterine fibroids, which are non-cancerous growths in the uterus. This treatment option has gained popularity due to its effectiveness in relieving symptoms caused by fibroids, such as heavy menstrual bleeding, pelvic pain, and frequent urination.

In this blog, we will focus specifically on the procedure involved in uterine fibroid embolisation.

1. What is Uterine Fibroid Embolisation?

Uterine fibroid embolisation (UFE) is a procedure where small particles are injected into the blood vessels that supply the fibroids. These particles block the blood flow to the fibroids, causing them to shrink over time. The procedure is performed by a radiologist and does not require an incision, making it a less invasive alternative to traditional surgeries like hysterectomy or myomectomy.

2. Preparing for the Procedure

Before undergoing uterine fibroid embolisation, a patient will typically have a series of diagnostic tests, including an ultrasound or MRI, to determine the size and location of the fibroids. These tests help the doctor plan the procedure and decide on the most effective approach. Patients may be advised to fast for several hours before the procedure and should discuss any medications they are taking with their doctor to avoid complications.

3. The Procedure Step-by-Step

The procedure begins with the patient being given a local anaesthetic, and sometimes sedation, to ensure they are comfortable and pain-free during the treatment. The doctor then makes a small incision in the groyne area, where a catheter is inserted into the femoral artery. Using X-ray guidance, the catheter is carefully navigated through the blood vessels to the arteries feeding the fibroids.

Once in position, the radiologist injects tiny particles, typically made of plastic or gelatine, into these blood vessels. The particles block the blood flow to the fibroids, depriving them of oxygen and nutrients. This causes the fibroids to shrink, alleviating symptoms over the course of several months. The procedure usually takes about 1-2 hours.

4. Aftercare and Recovery

Following uterine fibroid embolisation, patients are monitored for a few hours to ensure there are no immediate complications. Most women can go home the same day, although some mild discomfort or cramping may be experienced for a few days. It’s important to avoid strenuous activity for a few weeks to allow the body to heal.

5. Benefits of Uterine Fibroid Embolisation

Uterine fibroid embolisation is an effective fibroid treatment for women who wish to preserve their uterus or avoid the risks associated with major surgery. The procedure provides a high success rate in reducing symptoms and improving quality of life. Additionally, recovery time is relatively quick, and many women experience significant relief within a few months.

In conclusion, uterine fibroid embolisation offers a minimally invasive, effective option for treating uterine fibroids. With careful preparation and proper aftercare, this procedure can significantly improve symptoms, making it a suitable choice for many women seeking an alternative to traditional surgery.

Health Care Uterine fibroid embolisation

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