What Is Uterine Fibroid Embolization?
Uterine fibroids are noncancerous tumors located in the uterus that may cause symptoms such as heavy menstrual bleeding, pelvic discomfort, and pressure on the bladder or colon.
Uterine Fibroid Embolization (UFE), also known as Uterine Artery Embolization (UAE), is a minimally invasive procedure designed to treat these growths. By cutting off their blood supply to diminish fibroids, UFE offers an alternative to traditional surgical methods.
How Does the Procedure Work?
● Preparation: Before the treatment, patients undergo imaging tests, such as MRIs, to evaluate the size and position of the fibroids.
● Catheter insertion: A thin tube called a catheter is inserted in a blood vessel at the left wrist which is then advanced to the blood vessels supplying the fibroids using x-ray guidance.
● Embolization: Microscopic particles are injected through the catheter to block the arteries supplying blood to the fibroids. The procedure is completed in under 90 minutes with minimal discomfort.
● Post-Procedure: Patients may experience cramping or mild pain afterward, which is usually managed with medication.
What Happens after a Uterine Fibroid Embolization?
A week to ten days is the average recovery time following embolization. Patients can experience pelvic cramping/discomfort which is easily managed with tablets.
Many patients can go home on the day of the procedure, but some may wish to stay overnight in the hospital. Patients resume regular activities and go back to work within the first two weeks.
Periods may be erratic in the first 2-3 months. Most patients notice that their previous symptoms associated with the fibroids (heavy bleeding and pressure type symptoms) start to improve after the first 2-3 months.
Who is a Candidate for UFE?
Uterine fibroids embolization is the best option for women with uterine fibroids causing symptoms such as:
● Heavy bleeding during the menstrual cycle.
● Pressure in the pelvis.
● Constipation.
● Painful intercourse.
● Frequent urination.
It is not recommended to undertake uterine artery embolization (UAE) if you:
● Have uterine fibroids that are asymptomatic.
● Are expectant.
● Have a pelvic infection.
● Suffer from a condition that impacts your blood vessels, arteries, and veins.
● Are allergic to contrast dyes, which are used in the procedure.
What are the Success Rates of Uterine Artery Embolization?
Nearly 90% of patients have significant improvement (especially if performed for heavy periods) and are satisfied after having undergone the procedure, saving the uterus. A similar number of patients report they are still happy with their results 5 years later.
What are the Risks of Uterine Fibroid Embolization (UFE)?
Although UFE is a low risk procedure overall, there are small risks involved (just like any other operation):
● Infection: Inserting a catheter could damage other blood vessels in the area or cause an infection.
● Allergic reaction: An allergic reaction to X-ray contrast dyes or sedative medications could occur.
● Pelvic cramping/discomfort: usually subsides in a few days
● Vaginal discharge
● If you are close to menopause, you may stop having your period altogether after UFE.
● The actual risk to fertility after UFE is unknown, however it is estimated to be less than 1% (especially in women above 45)
Can a Woman Still Conceive After this Procedure?
It is safe to get pregnant after a UFE operation. However, it is recommended to wait for at least 12 months after undergoing embolization before becoming pregnant to reduce the risk of miscarriage.
Book a Consultation for Uterine Fibroid Embolization in Nairobi
If you are experiencing symptoms of uterine fibroids and looking for effective treatment in Nairobi, Kenya, Dr. Sagoo and his team are here to help. Schedule a consultation today to explore whether Uterine Artery Embolization is the right choice for you.
Contact us today with Dr. Sagoo to learn more about minimally invasive fibroid treatment in Nairobi, Kenya and take the first step toward relief from fibroid symptoms.