What Is Uterine Fibroid Embolization?

Uterine fibroids illustration

Uterine Fibroid Embolization, or UFE, is a non-surgical option for treating uterine fibroids. This minimally invasive, image-guided procedure is performed by an interventional radiologist or fibroid specialist. If you are experiencing issues such as heavy menstrual bleeding, frequent urination, pain during sexual intercourse, or pelvic pain, UFE has the potential to significantly alleviate or eliminate these fibroid-related symptoms. The physicians at the fibroid clinic bring years of expertise in performing UFE, helping women achieve greater comfort and a reduction in pain in their daily lives.

UFE represents a groundbreaking option for women dealing with fibroids who prefer to avoid major surgery and its prolonged recovery. Importantly, it preserves the uterus, allowing for the potential of future pregnancies.

Following UFE, fibroids typically shrink, and troublesome symptoms often subside. With a success rate of around 85%, UFE offers a quicker recovery compared to hysterectomies, likely avoiding a hospital stay and minimizing complications.

Some Information about the Procedure

Benefits of Uterine Fibroid Embolization

Uterine Fibroid Embolization presents numerous advantages for patients seeking options beyond major surgeries like hysterectomy and myomectomy. UFE is a safe and effective treatment for all fibroid types, regardless of their size, number, or location.

Preservation of the uterus
Less invasive compared to surgery
Minimal to no scarring
Reduced risk of complications
Shorter recovery time
Substantial alleviation of fibroid symptoms

Candidates for Uterine Fibroid Embolization

Consulting with a fibroid specialist is crucial to explore all available treatment options before opting for UFE. This procedure has relatively low risks and is applicable to both small and large fibroids.

Dealing with painful or incapacitating fibroid symptoms
Prefer to avoid invasive surgery
Preservation of the uterus is important
Minimizing time away from work and family is a priority
Future pregnancy is a consideration
In the perimenopausal stage

How to Prepare for Uterine Fibroid Embolization

While there is typically no specific preparation required for UFE, your doctor will provide detailed information about the procedure, including potential risks, benefits, and alternatives. For optimal results, consider the following steps:

Inform your doctor about any known allergies
Compile a list of all current medications and supplements
Report any recent illnesses or other medical conditions
Abstain from eating or drinking anything 6 to 8 hours before the procedure
Arrange for someone to drive you home

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How is UFE Performed?

Procedure

Uterine fibroid embolization is performed as an outpatient procedure at our state-of-the-art facilities. Our skilled fibroid specialists are adept at conducting minimally invasive UFE procedures.

Local anesthesia and IV sedation
Small incision in wrist or groin
Catheter insertion with imaging guidance
Injection of tiny particles
Short recovery period
Post-procedure care instructions
Follow-up appointments

Before the procedure, you will receive local anesthesia along with conscious IV sedation to ensure your relaxation and comfort. A small incision will be made in either your wrist or groin, allowing the physicians to insert a thin catheter into the artery at the top of your wrist or groin and guide it to the uterine artery using advanced imaging techniques.

Once the blood supply to the fibroids is identified, the physician will inject controlled amounts of tiny particles—similar in size to grains of sand—directly into the small blood vessels that supply the fibroids. These particles block blood flow, leading to a lack of oxygen and nutrients for the fibroids.

After the procedure, you will be monitored for a short period in our onsite recovery room. Comprehensive instructions will be provided before you leave, and follow-up appointments will be scheduled to track your recovery.

UFE Recovery

UFE recovery illustration

After your UFE procedure, you will be able to go home the same day to begin your recovery. You can expect to experience mild to moderate pain and cramping in your lower abdomen and pelvis for the first 24 to 72 hours post-procedure, which will feel similar to typical menstrual cramps.

Same-day discharge
Mild to moderate pain for 24-72 hours
Pain managed with prescribed medications
Resume regular activities after 7-10 days
Avoid heavy lifting and strenuous tasks

This discomfort can be alleviated with the prescribed pain medications and is expected to decrease quickly over the following days. Most patients who undergo UFE are able to return to their normal activities within about 7-10 days. During this recovery period, it is recommended to avoid heavy lifting, strenuous activities, sexual intercourse, and to follow any additional guidelines provided by your doctor.

What to expect after UFE?

Post-UFE expectations illustration

After your UFE procedure, you can expect to see gradual improvements in your overall health each day. Generally, symptoms related to fibroids begin to lessen within the first three months following the procedure. It's important to keep in mind that your menstrual cycles may be heavier than usual during this time, and some women might also pass fibroid tissue within this three-month period.

Gradual improvement each day
Symptom reduction within 3 months
Possible heavier menstrual cycles initially
Resume activities within 7-10 days
Follow-up appointment with doctor

Most women find that their recovery from UFE is straightforward, allowing them to return to their normal activities within about 7 to 10 days. Approximately 85-90% of women who undergo UFE experience symptom relief, along with noticeable shrinkage of their fibroids. After the procedure, you will have a follow-up appointment with your doctor, which may involve additional ultrasound or MRI scans to track your healing progress.

Frequently Asked Questions

Does UFE Impact Fertility?

While UFE can influence fertility, many women have successfully become pregnant after undergoing the procedure. It’s crucial to discuss your fertility objectives with your doctor before opting for UFE.

Are All Fibroids Treatable?

The majority of fibroids can be addressed with UFE, but its effectiveness can differ based on the size, quantity, and location of the fibroids. Your physician will assess whether UFE is appropriate for your individual situation.

What Can I Expect After UFE?

Post-UFE, you might experience mild to moderate discomfort for a few days, which can be alleviated with medication. Most women are able to resume normal activities within a week, and you'll have follow-up visits to track your recovery.

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