Uterine Artery Embolization As A Uterine Fibroids Treatment Method

Uterine fibroids treatment methods include the use of various conventional treatments for uterine fibroids. While natural fibroid treatment options can be very effective and comes without the significant expense and side effects associated with conventional methods, in some cases, conventional methods including surgery is necessary and uterine artery embolization (UAE) is one of the conventional ways to get this done.

Uterine Fibroids Treatment through UAE

This is a fairly brand new method for the treatment of fibroids although UAE which is also known as UFE (Uterine Fibroids Embolization) has been used since the ’70s to treat and stop hemorrhaging that could outcome after giving birth or after going through a pelvic surgical procedure.

It just started being used as an uterine fibroids treatment in the ’90s when it was approved as a safe method for fibroid treatment in 1995. This means that even though it is considered a safe method, the long run effects are still unknown when compared to surgical procedures such as the myomectomy or the hysterectomy.

This procedure is performed by an interventional radiologist (IR) and not a gynecologist and technically speaking, it is not considered surgical procedure for the surgical removal of uterine fibroids because nothing is cut from the body during the procedure. Because it is not surgical treatment and because gynecologists do not perform this procedure, your gynecologist may not mention this process to you. If he or she does not mention this treatment option, ask him or her about it and why they did not mention it.

Uterine Artery Embolization Procedure

Although it remains fairly unknown why fibroid tumors develop, one thing is known. They need a robust blood supply to continue to grow.
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The logic with an UAE is the fact that if the blood supply is cut off or reduced to the tumors, they need to start to disintegrate.

Once the blood provide is cut off or reduced, the particular fibroids may shrink and even expire. With no blood supply to help them grow, the fibroid tumors should start to disintegrate or generally become safe.

While the fibroid tumors will disintegrate, the uterus remains unaffected. This really is probably because the uterine muscle requires some blood supply but not just as much as the amount that the tumors require to develop. The UAE does keep a few blood flowing to the uterus area but this reduced blood flow whilst enough for the uterus and around organs, is apparently not enough regarding fibroids.

To perform the procedure, the patient is going to be placed under local anesthesia or mindful sedation and a thin tube will be inserted close to your groin to the large arteries that are close to your own groin that supply blood to the uterus and other organs in the vicinity along with the uterine fibroids.

Since the majority of females have two uterine arteries, you need to expect two puncture wounds to be performed to reduce the blood flow for this area.

A dye is after that injected into the arteries first in order to help the IR perform this process as the dye will show up in the x-ray machine and will help guide the particular IR during the procedure.

Once the catheter is in the uterine artery, the particular IR releases small particles generally known as polyvinyl alcohol (PVA) into the blood stream which are then guided by the bloodstream to the area that the IR desires them to settle. Once the PVA connect themselves, they will start to slow down the blood supply to the uterus. This procedure is then repeated for the 2nd uterine artery. The procedure should last only 30 to 45 minutes from start to finish.

While not considered the surgical procedure, it is still invasive but it is still safer than surgical removal of uterine fibroids methods such as the myomectomy or the hysterectomy and the recovery time is usually less than the aforementioned procedures. You ought to be able to return to work in about a week or so.

The UAE is considered an outpatient procedure which means that after the procedure is performed, the patient can be sent home. But for some patients who experience poor cramps after the procedure, an right away hospital stay may be required.

Another of the benefits of this procedure is that the womb remains intact unlike a full hysterectomy.

What You Can Expect After the Procedure

1 ) After the procedure, mild abdominal discomfort may be experienced and require hospitalization in only a few cases when the pain is significant. You will be given pain medication as well as medication to help treat nausea and to help you sleep.

2 . A follow-up will be required with your gynecologist as well as with your IR.

three or more. Physical activity is prohibited for at least two weeks.

4. A brown or pink discharge resulting from a disintegrating tumor or tumors is commonly reported in the weeks and months after the procedure.

5. Post embolization syndrome may be experienced by some women that is like a fever but can also be like menopause resulting in cramping, mood ups and downs, hot flashes, nausea, severe pelvic pain, etc . This condition is considered to be the offshoot of disintegrating cells in the fibroid tumor(s). Hospitalization may be required. The treatment for pain plus nausea may also be required. With treatment, these symptoms should go away within a 7 days or two.
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