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About The procedure

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Uterine Fibroid Embolization (UFE)

Uterine fibroid embolisation (UFE) is a minimally invasive procedure which is used to treat fibroid tumours of the uterus which cause unusual menstrual bleeding, pain, and pressure on the bladder or inside. It uses a type of continuous x-ray called fluoroscopy to manage the conveyance of embolic operators to the uterus and fibroids. These factors obstruct the supply routes that give blood to the fibroids and cause them to contract.

In What Circumstances UFE is Used?

Uterine artery embolisation has been used for decades to stop severe pelvic bleeding caused by:

  • Trauma
  • Malignant gynaecological tumours
  • Haemorrhage after childbirth
  • Uterine fibroid embolisation is a specialised form of UAE for treating symptomatic fibroids.

What are the Advantages of UFE?

UFE has many advantages over hysterectomy, myomectomy, and treatment with GnRH-a (the hormone-suppressor medicine used to shrink fibroids).

  • General anaesthesia and an abdominal incision isn`t required.
  • There is no blood loss.
  • All fibroids may be treated without many complications.
  • It does not cause bone-thinning (osteopenia) or the other serious side effects associated with GnRH-a.

How is UFE Conducted?

Firstly, a thin, flexible tube called a catheter is placed into a blood vessel in the upper femoral artery. A contrast material is injected into the catheter. You may feel a warm sensation as it travels up to the uterus. The specialist uses a real-time X-ray on a video screen (fluoroscopy) to see the arteries and then guides the catheter to the arteries. A solution with polyvinyl alcohol (PVA) particles is injected into uterine arteries through the catheter. These particles gather in the targeted arteries and block blood flow to the problematic fibroid.

What Risks and Complications are Associated with this Procedure?

The risk of complications from uterine artery embolisation is about the same as those for surgical treatment of fibroids. These may include:

  • Disease A degenerating fibroid can provide a site to the bacterial development and prompt infection of the uterus (endomyometritis). Numerous uterine diseases can be treated with antimicrobials, yet in extraordinary cases, infection may require a hysterectomy.
  • Damage to different organs Unintended embolisation of another organ or tissue can happen, although it's not as risky as a surgery. Regardless of whether you have embolisation or medical procedure, interruption of the ovarian blood supply is plausibility because the ovaries and uterus share some veins. In case you're nearing menopause (perimenopausal), such an outage could prompt menopause ― yet that is uncommon in case you're age 40 or more youthful.
  • Possible issues in future pregnancies Numerous women have healthy pregnancies after having uterine supply route embolisation. If you want to have children, converse with your specialist about the risks of the medical procedure and how uterine course embolisation may influence your fertility and future pregnancy.

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Hospitals

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Indraprastha Apollo

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