Fibroid Embolisation

 

Uterine Fibroid Embolisation (“UFE”) is an alternative to hysterectomy (removal of uterus) or hormonal suppression for the treatment of uterine fibroid.

UFE is a minimally invasive procedure that treats fibroid by blocking off the arteries that provide nutrients to them, thus making the fibroid “starve” and shrink.

This procedure is performed by an Interventional Radiologist. A flexible, plastic-like tube called catheter is inserted through the femoral artery in the upper thigh. A substance called contrast material is then injected into the catheter. The patient may feel a warming sensation as it travels up to the uterus. Then, the Interventional Radiologist maneuvers the catheter along the artery guided by angiofloro to the uterine artery. Once the fibroid blood supply has been identified, fluid containing microscopic particles is injected through the catheter into every artery which nourishes the fibroid, silting up and blocking those blood vessels and eventually starving the fibroid from its blood supply.

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ADVANTAGES OF UFE OVER OTHER TREATMENTS

• minimally invasive, no stitches or surgical incision, no abdominal scar.
• require shorter hospital stay.
• does not involve removal of uterus preserving the possibility for future pregnancies.
 

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WHAT TO EXPECT AFTER TREATMENT

UFE usually takes about 1 to 3 hours, from preparation into the operating room to the removal of catheter. A bandage is then applied to the punctured side and the patient will be kept under observation for a few hours. The procedure is done under local anaesthetic (LA).

The length of observation depends on how well the patient does after the procedure.

Normally, the patient will experience moderate pelvis pain for 6 to 12 hours after the procedure. Pain killer will be prescribed to help ease the uncomfortable sensation.

The patient should be able to return to her routine activities after 5 to 7 days.