Uterine Fibroid Embolisation

What are Uterine Fibroids?

Fibroids or uterine leiomyomata are benign overgrowths of the muscle of the uterus 20-40% of women over over 35 10-20% of those require treatment Vary in size and location

Symptoms of Fibroids

  • Heavy menstrual bleeding – anaemia
  • Pelvic pain and pressure
  • Back and leg pain
  • Pain during intercourse
  • Bladder pressure with
  • frequent urination
  • Bowel pressure with constipation and bloating
  • Large abdominal mass

Treatment Options

  • Symptomatic relief: iron tablets, pain killers
  • Hormone blocking agents
  • Myomectomy
  • Hysterectomy
  • Uterine Fibroid
  • Embolisation(UFE)

What is Uterine Fibroid Embolisation?

The procedure is based on an angiogram procedure whereby a thin catheter is put into the femoral artery, and guided through to the uterine arteries and specifically the small arteries feeding the fibroids in the uterus. These arteries are then blocked off with special particles, and thereby the blood supply to the fibroid is cut off and it will involute. It is less invasive than open surgery( e.g. hysterectomy), can maintain or even enhance fertility, costs less than surgery and has improved recovery time.

Results of UFE. Patient satisfaction:

  • 80-90% asymptomatic or will have significantly reduced symptoms at 1 year
  • Bleeding
  • 90% improvement
  • Dysmenorrhea (menstrual pain)
  • 78% improvement
  • Mass effect
  • 40-70% reduction in fibroid volume

Recovery Time

  • Much shorter recovery time compared to hysterectomy or myomectomy
  • 1-2 days in hospital
  • Return to normal activity within 10 days

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