Fibroid Treatment without Surgery (English) – Non-Surgical by Embolization – Dr. Pradeep Muley

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Dr. Pradeep Muley

Center for Non-Surgical Treatment by Dr. Pradeep Muley Fortis Hospital Vasant Kunj, Delhi. Most Popular Uterine Fibroid Treatment Without Surgery By Uterine Artery Embolization.

Non – surgical treatment options for uterine fibroids
Uterine artery embolization / Uterine Fibroid embolization
It is a minimally invasive interventional radiological procedure, which means it requires only a tiny nick in the skin. It is performed under sedation and local anesthesia – feeling no pain and usually requires a hospital stay of one night. Many women resume light activities in a few days and the majority of women are able to return to normal activities within one week.
Ideal Patient for uterine artery embolization
1. They have single / multiple fibroids
2. The fibroids are symptomatic
3. There is no cancer
UFE treats all uterine fibroids at the same time and is, therefore, an extremely effective.
The interventional Radiologist makes a small nick in the skin (less the ¼ of an inch) at groin, inserts a catheter, identifies uterine artery by using angiography with contrast media injection and then inject embolization particles (polyvinyl alcohol) that block the tiny vessels supplying all the fibroids. This blockade of blood supply to fibroids causes infarction (loss of blood supply to the fibroids) and subsequent degeneration of the fibroids and it starts reducing in size reaching half the size in few weeks. Symptoms due to the fibroids (like bleeding and pain) resolve in 85% to 95% of patients.
Uterine Artery Embolization has many Indications:-
• Single / multiple Uterine Fibroids.
• Adenomyosis.
• Failed myomectomy / recurrence of fibroids after myomectomy
• High risk patient for surgery like obesity, anemia, chronic renal failure etc.
• Post-partum Hemorrhage
• Bleeding from Cancer of Cervix & Uterus
• Pre-operative embolization to reduce bleeding during uterine surgery.
Advantages of Uterine artery embolization
1. It is performed under Local anesthesia. Not General anesthesia.
2. Requires only a tiny nick in the skin (No surgical incision of abdomen).
3. Recovery is shorter than from hysterectomy or open myomectomy.
4. Virtually no adhesion formation has been found. But in surgery adhesions are common.
5. All fibroids are treated at once, which is not the case with myomectomy.
6. Recurrent growth of treated fibroids is uncommon.
7. Uterine fibroid embolization involves virtually no blood loss or risk of blood transfusion.
8. If the presenting complaint was excess vaginal bleeding, 87-90% of cases experiences resolution within 24 hours.
9. Emotionally, financially and physically – embolization can have an overall advantage over other procedures for the patient as the uterus is not removed.
Non-Surgical – Uterine Artery Embolization
It is a non- surgical treatment called Uterine Artery Embolization it is done without any scar in abdomen and it need just mild sedation. No risk of blood loss or blood transfusion. It can be done in women who: –
• Experiencing symptoms of uterine fibroids.
• A desire to retain her uterus and pursue hysterectomy alternatives.
• Does not desire surgery.
• Poor surgical candidate (e.g., because of obesity, bleeding disorders, anemia).
• If she is not pregnant.
“Uterine fibroid embolization is a non-invasive, non-surgical outpatient procedure. This procedure blocks the blood supply of the arteries that supply fibroids causing them to shrink. Embolization uses angiographic techniques to place a catheter into the uterine arteries so that particles the size of grains of sand can be injected through catheter and into the blood supply of the fibroids.
UAE can be done in following condition.
• Single / multiple Uterine Fibroids.
• Adenomyosis.
• Failed myomectomy / recurrence of fibroids after myomectomy
• High risk patient for surgery like obesity, anemia, chronic renal failure etc.
• Post-partum Hemorrhage
• Bleeding from Cancer of Cervix & Uterus
• Pre-operative embolization to reduce bleeding during uterine surgery.

For more in-depth information contact: Dr. Pradeep Muley M.D.
Senior Consultant Interventional Radiologist, New Delhi, INDIA
Mobile / whatapp 91-98104 92778 or E-mail – muleypradeep@hotmail.com
www.uterusfibroidtreatment.com/

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