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Uterine Artery Embolization For Fibroids

Uterine Artery Embolisation (UAE) And Ablation

It is a minimally invasive treatment for uterine fibroids, noncancerous growths in the uterus. It uses a common femoral artery puncture. Super selective embolisation of Uterine arteries is done to block the fibroid blood vessels, starving the fibroids and causing them to shrink and die.

Uterine Artery Embolization Uterine Artery Embolization

Why (Indications)?

  • Large fibroids with bulky uterus causing increased frequency of urine, pain , increased and heavy menstruation.
  • Adenomyosis
  • Uterine AVM
  • RPOC (retained products of conception)

Why Not (Contraindications)?

Avoid uterine artery embolization if you:

  • Are pregnant
  • Have possible pelvic cancer
  • Have an active, recent or chronic pelvic infection
  • Are allergic to contrast material containing iodine

What you are to do before procedure (Preparation)?

  1. Book prior appointment if elective or get admission in causality if emergency
  2. Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers) and previous records. An MRI or ultrasound of the prostate gland.
  3. Urine test (urinalysis)
  4. 4-6 Hours fasting.
  5. If you are on blood thinner like Aspirin inform during appointment.
  6. One accompanying person
  7. Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 day.

Complications

Mild Pain (usually ends within a day or two). In some patients pain may last for few weeks.

Vaginal discharge.

Post-embolization syndrome — characterized by low-grade fever, pain, fatigue, nausea and vomiting — about 48 hours after the procedure and usually resolve on its own within a week.

Resume to work?

You can resume your work after 2-3 days if existing disease allows.

Results?

  • Symptoms such as heavy bleeding, urinary incontinence and abdominal enlargement are relieved  in the first three months after treatment. These results appear to be comparable to that of myomectomy, in which the fibroids are surgically removed and the uterus repaired.
  • Your menstrual period may continue on its normal schedule. If you miss any periods, they will probably resume within a few months.
  • There is low risk of  subtle ovarian damage which may make getting pregnant more difficult. Despite these risks, many women have had successful pregnancies after uterine artery embolization.

Ablation

What is it?

  • Radiofrequency ablation (RFA) and microwave ablation (MWA) are treatments that use image guidance to place a needle through the skin into fibroid
  • In RFA, high-frequency electrical currents are passed through an electrode in the needle, creating a small region of heat.
  • In MWA, microwaves are created from the needle to create a small region of heat. The heat destroys the liver cancer cells.
  • RFA and MWA are effective treatment options for patients who might have difficulty with surgery
  • The success rate is greater than 85 percent.

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