Uterine Fibroids Treatment in India

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Uterine Fibroid Embolization (UFE) Uterine
fibroid embolization (UFE) also referred to as
uterine artery embolization is a minimally
invasive interventional radiology treatment for
fibroid tumors in the uterus. Between 20 and 40
of women older than 35 years have
fibroids. Fibroids are benign growths in the
muscular wall of the uterus. Fibroids are not
malignant or cancerous. These growths can vary in
size. A majority of the women having fibroids do
not have any manifesting symptoms, while others
could show clinical features such as heavy
bleeding during the menstrual period. In such
cases, periods may last much longer than usual.
Fibroids are also capable of causing pain or a
feeling of pressure or heaviness in the lower
pelvic area (the area between the hip bones), the
back or the legs. Some women experience pain
during sexual intercourse. Others have a constant
feeling that they need to urinate, while some may
also feel a pressure in the bowel. Other symptoms
include constipation or bloating of the abdomen.

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Uterine Fibroid Embolization Procedure
Overview Uterine Fibroid Embolization (UFE),
also called Uterine Artery Embolization (UAE), is
a minimally invasive surgical procedure used to
treat uterine fibroids. This surgery uses a
technique called embolization which blocks the
flow of blood through the vessels around the
fibroids depriving them of the oxygen they need
to grow. The oxygen deprivation results in the
fibroids shrinking. Although a relatively new
treatment for fibroids, UFE has been used for
years to control heavy bleeding after childbirth.
Fibroid embolization is performed by an
interventional radiologist who works in
consultation with your gynecologist. The
procedure takes about an hour. UFE surgery is not
recommended for women who are planning future
pregnancies, because its effects on fertility are
not conclusively known.

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UFE surgery involves making a small incision and
guiding a catheter through the femoral artery in
the groin to one of the uterine arteries and
injecting tiny plastic spheres, about the size of
sand grains. Using a moving X-ray (fluoroscopy),
the physician guides the catheter through the
artery to the uterus. An arteriogram (a series of
images taken while radiographic dye is injected)
is done to provide a map of the blood supply to
the uterus and fibroids during the procedure.
Tiny particles of tris-acryl gelatin or polyvinyl
alcohol (PVA) are injected through the catheter
and lodge in the smaller arteries that branch out
to the fibroids and choke off the blood supply.
They remain permanently in the uterine arteries.
With their blood supply cut off, the fibroids
begin to shrink. Doctors repeat the process on
the opposite uterine artery to treat all of the
fibroids in the uterus. Patients are conscious
but sedated for the procedure. Local anesthesia
is used at the site of the incision to block
pain. An overnight stay in the hospital is
generally required but UFE can be done as an
outpatient procedure. Patients are given pain and
anti-inflammatory medications for discomfort and
cramping following the procedure.

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• The advantages of Uterine Fibroid Embolization
  (UFE) are
• Minimally invasive procedure
• No need for general anesthesia
• Treats all fibroids simultaneously
• Short recovery period (1-2 weeks)
• No abdominal scars
• Minimal blood loss
• Complications infrequent
• Uterus preserved, normal menstrual cycles
  usually resume after the procedure

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• The benefits of Uterine Fibroid Embolization
  (UFE) are
• 85 of women who have uterine fibroid
  embolization experience either
• significant reduction or complete resolution
  of their fibroid-related symptoms
• Fibroids often shrink to half their original
  size 6 months after UFE
• It is rare for fibroids to regrow or for new
  fibroids to develop after UFE

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• Frequently Asked Questions about Uterine Artery
  Embolization in India for Fibroids treatment
• Who can have uterine fibroids?
• Anyone can have uterine fibroids and they are
  very common, and the exact cause is not known.
  Often fibroids are very small and cause no
  problem. From 20 to 40 of women aged 35 and
  older have uterine fibroids of a significant
  size.
• What are the symptoms of uterine fibroids?
• The symptoms of fibroids vary with the person and
  depend on the size and number of fibroids.
  However the typical symptoms of fibroids are
•    Prolonged and heavy bleeding during menstrual
  cycle
•    Pressure to urinary bladder causing frequent
  urge to urinate
•    Pain in lower abdomen, back and legs
•    Pressure on bowel resulting in constipation
  and bloating

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• How are fibroids diagnosed?
• Fibroids can be diagnosed by a gynecologic
  examination and confirmed by an ultrasound of the
  pelvic area. They can also be diagnosed in a CT
  or MRI scan.
• What is fibroid embolization? Why is it better
  than other procedures?
• Fibroid embolization or uterine artery
  embolization is a minimally invasive procedure
  whereby the blood supply to the fibroids is
  blocked by inserting small particles inside the
  uterine artery leading them to starve and die.
  The procedure is done by an interventional
  radiologist under local anaesthesia with
  sedation.
• Who is a candidate for fibroid embolization or
  uterine artery embolization?
• A lady with the following conditions is a good
  candidate for fibroid embolization or uterine
  artery embolization.
•    She has single/ multiple symptomatic fibroids
•    The fibroids are not cancerous

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How is the procedure done? The interventional
radiologist makes a small nick in the skin (less
then ¼ of an inch) in the groin and inserts a
catheter into an artery. The catheter is guided
through the artery to the uterus while the
interventional radiologist guides the progress of
the procedure using a moving X-ray (fluoroscopy).
The interventional radiologist injects tiny
plastic particles the size of grains of sand into
the artery that is supplying blood to the fibroid
tumor. This cuts off the blood flow and causes
the tumor (or tumors) to shrink. The artery on
the other side of the uterus is then
treated. How effective or successful is fibroid
embolization? The studies show that 78 to 94 of
women who undergo uterine artery embolization
report significant or complete relief from the
symptoms- heavy bleeding and pain. There has also
been no re-growth of treated fibroids reported in
these patients  

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