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Treatment for Uterine Fibroids by Artery Embolization

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What is Uterine artery embolization ?

Uterine artery embolization is a minimally invasive technique that involves injecting microscopic particles into the uterine arteries to prevent blood flow to fibroids, thereby shrinking their size and easing symptoms such as excessive bleeding and pelvic pain. It is a substitute for open surgery in the treatment of uterine fibroids.

Advantages of Uterine Fibroid Embolization

Minimally Invasive: The UAE technique doesn’t involve making an abdominal surgical incision. Compared to standard surgery, this can lead to less discomfort, a quicker recovery period, and a lower chance of infection.

Uterine Preservation: UAE permits the preservation of the uterus, in contrast to hysterectomy, which includes the removal of the complete uterus. For women who want to preserve their fertility or prevent the psychological effects of losing their uterus, this is very crucial.

Loss of Blood: When opposed to surgical methods, UAE frequently results in less blood loss. Without requiring substantial surgical operations, the treatment efficiently reduces or eliminates symptoms like heavy monthly flow by limiting the blood supply to fibroids.

Shorter Recovery Time: Compared to surgery, patients receiving UAE usually recover more quickly. While recovery after surgery may take several weeks, many women are able to resume their regular activities in less than a week.

Lower Risk of Infection: Compared to standard operations, the risk of infection is typically lower with UAE since it is performed through the blood vessels rather than requiring an open surgical incision.

Non Surgical Treatment for Fibraoids: In many circumstances, UAE can be carried out under local anaesthetic, negating the requirement for general anaesthesia. Those who are worried about the hazards or side effects of anaesthesia may find this beneficial.

Multiple Fibroid Treatment: Multiple fibroids of different sizes and uterine sites can be successfully treated with UAE. It offers an extensive solution for women with multiple fibroids

Day care procedure: UAE can be done as an outpatient procedure, enabling patients to go home the same day. This will be more practical for people who lead hectic lifestyles.

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Preparation: – To determine the size, location and quantity of uterine fibroids, the patient has preliminary imaging studies like MRI or CT scans.

Anaesthesia: – Local anaesthesia is used during UAE procedure. Sometimes to guarantee the patient’s comfort general anaesthesia or conscious sedation may be used.

Catheterization: – A tiny incision is made typically in the groin area, and the femoral artery is punctured to insert a thin, flexible tube known as a catheter. The uterine arteries are reached by carefully guiding the catheter through the vascular system.

Imaging Guidance: – Fluoroscopy, or real-time X-rays are imaging methods that are utilized to see the catheter’s position and guide it to precise location in the uterine arteries

Embolization: – The uterine arteries are inserted with tiny particles called embolic agents, which are injected via a catheter. – The fibroids shrink as a result of these particles’ blockage of blood flow

Monitoring: – The interventional radiologist keeps an eye on the process in real time to make sure the embolic agents are distributed correctly and to verify that the fibroids’ blood flow is effectively blocked.

Post-Procedure Care – Following embolization, the catheter is taken out and a tiny stitch is usually used to close the incision site. – Patients are monitored for a few hours before discharge

Recovery: -Most people can return to their normal routine within a week

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UAE is a minimally invasive procedure that does not need the removal of the uterus (hysterectomy). While surgery includes physically removing fibroids or the entire uterus,  UAE does not remove the uterus. 

UAE may be a good option for women with symptomatic uterine fibroids who want to keep their uterus intact, don't want surgery, or are worried about the length of recuperation required for conventional surgical procedures

Patients may feel some pain or cramping during UAE, which usually involves local anesthetic or conscious sedation. Painkillers are frequently recommended to treat discomfort following surgery.But the pain experienced is not as significant as traditional surgery

Recovery periods differ, however many women are back to their regular routines in about a week. It could be necessary to refrain from strenuous activity for a little while longer.

Surgical options including hysterectomy , myomectomy and hormone therapy are alternatives.

Research has demonstrated that UAE is useful in easing the symptoms of fibroids, including severe bleeding and pelvic pain. the logn term effectiveness will vary from person to person. lifestyle changes are required. 

Although UAE effectively reduces the size and symptoms of fibroids, there is a very slight possibility that new fibroids will eventually form. It is advised to follow up  on a regular basis.

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