Uterine Artery Embolization

Uterine fibroids illustration

Uterine Artery Embolization (UAE) is a non-surgical option for treating adenomyosis. This minimally invasive procedure is conducted by a qualified interventional radiologist using image guidance. The terms Uterine Artery Embolization and Uterine Fibroid Embolization (UFE) are frequently used interchangeably, with UFE mainly focusing on the treatment of symptomatic uterine fibroids. Although both procedures operate on the same principles, UAE is the correct terminology when adenomyosis is the only issue present without fibroids.

The specialists at our fibroid clinics are highly trained in performing UAE, providing significant relief from the symptoms associated with adenomyosis. This procedure is particularly suitable for women who wish to avoid major surgeries like hysterectomy. UAE eliminates the requirement for a hospital stay, offers a quicker recovery time, and reduces complications, typically requiring only a small incision.

By preserving the uterus and ovaries, UAE also keeps the possibility of future pregnancies intact. With a clinical success rate of approximately 75-80%, UAE allows patients to experience considerable relief from pain and discomfort, enabling them to return to their normal lives prior to the development of adenomyosis.

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Some Information about Uterine Artery Embolization

Benefits of Uterine Artery Embolization

Uterine Artery Embolization (UAE) provides numerous advantages over traditional surgical methods. Regardless of the stage or severity of your adenomyosis, our expert team employs UAE as a safe and effective procedure aimed at restoring your health. The main benefits of UAE include:

A safer alternative to surgery
Preservation of the uterus
Elimination of the need for a hospital stay
Shortened recovery period
Reduced risk of complications
Effectively diminishes symptoms associated with adenomyosis

Candidates for Uterine Artery Embolization

Women suffering from severe and debilitating symptoms due to adenomyosis should consider the UAE procedure. UAE is a relatively low-risk, non-invasive option that allows patients to return home the same day. It is vital to consult with a specialist to explore all treatment options before deciding on UAE. You may be an appropriate candidate for UAE if:

Undergoing severe adenomyosis symptoms
Preserving your uterus is a priority
Prefer to avoid invasive surgical procedures
Future pregnancy plans are in consideration
Minimizing recovery time and the risk of complications is a priority

How to Prepare for Uterine Artery Embolization

There are no specific preparation guidelines for Uterine Artery Embolization. Your physician will provide a comprehensive explanation of the procedure, including its associated risks, benefits, and alternative treatments. It’s important to address any questions you may have regarding UAE beforehand. To ensure the best possible outcomes if you choose UAE, follow these steps:

Undergo a physical examination, including relevant blood work or tests
Inform your doctor about any medications or supplements
Compile a list of recent illnesses, surgeries, and other medical conditions
Abstain from eating or drinking for a minimum of 8 hours before the procedure
Arrange for transportation home from the outpatient centre

How Is UAE Performed?

UAE Procedure

Uterine Artery Embolization is performed by an interventional radiologist at our state-of-the-art facility in the US. This outpatient procedure requires that you have someone available to drive you home afterward. Before the procedure begins, a local anesthetic and conscious IV sedation will be administered to ensure your comfort and relaxation.

Conducted by an interventional radiologist in an outpatient setting
Local anesthesia and conscious IV sedation provided
Catheter inserted into the femoral or radial artery using ultrasound guidance
Embolic beads injected into the uterine arteries
Bandage applied to the entry site, no stitches required
Short recovery period with follow-up appointment scheduled

Using real-time fluoroscopic guidance, the catheter is navigated into the appropriate arteries of the uterus. The interventional radiologist will carefully inject tiny embolic beads into the uterine arteries, effectively displacing the endometrial tissue responsible for adenomyosis. After the catheter and needle are removed, a bandage is applied to the entry site, negating the need for stitches. You will then be monitored in a recovery room for a brief period. Postoperative instructions will be provided, along with a follow-up appointment to evaluate your recovery and progress.

UAE Recovery

After your UAE procedure, you will be able to return home the same day to begin your recovery. The typical home recovery period lasts between five to seven days, with the option to resume light work and activities before the seventh day.

Return home on the same day
Recovery duration of 5-7 days
Gradually resume light activities before day 7
Mild to moderate vaginal discharge may last for weeks
Possible cramps or discomfort can occur
Regular walking is encouraged
Follow a fiber-rich diet
Ensure adequate hydration
Avoid using douches and tampons for 2 weeks
Refrain from sexual intercourse for 2 weeks

It is common to experience some minor to moderate vaginal discharge, which may be watery or mucus-like, for several weeks following the procedure. You might also feel cramps or discomfort at the incision site as well as in your abdominal and pelvic muscles. Your physician may recommend an appropriate pain reliever for any discomfort.

Moreover, your doctor will advise you to engage in regular walking, maintain a fiber-rich diet, and stay well-hydrated to avoid constipation. It is also important to refrain from using douches or tampons and to avoid sexual intercourse for two weeks post-procedure.

What To Expect After UAE?

Relief from pain and issues within 3 months
Normal menstruation pattern returns
Follow-up appointment with ultrasound and MRI
Return to usual activities within 2 weeks
75-80% of women experience symptom improvement

Within three months following the UAE procedure, most patients experience significant relief from pain and related issues associated with uterine fibroids or adenomyosis. Menstruation typically returns to its normal pattern during this timeframe.

Most patients recover from UAE without complications and can return to their usual activities within two weeks.

Symptom Improvements

  • Alleviation of painful periods
  • Reduction in heavy menstrual bleeding
  • Decrease in abdominal pressure
  • Reduction in bloating

Adenomyosis Frequently Asked Questions

Adenomyosis is a gynaecological condition impacting the uterus, often causing confusion with uterine fibroids. Individuals with both adenomyosis and fibroids may encounter similar symptoms, leading to potential misdiagnosis or undiagnosed cases extending over months or even years. The physicians at the fibroid clinic are committed to delivering high-quality and efficacious care for women, ensuring they receive the treatment they rightfully deserve. For more information, explore our Frequently Asked Questions (FAQs) about adenomyosis.

What is the Difference Between Adenomyosis and Endometriosis?

Why is Early Diagnosis of Adenomyosis Important?

Can Adenomyosis Lead to Infertility?

What lifestyle changes can help manage adenomyosis symptoms?

How is Adenomyosis Different from Uterine Fibroids?

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