Uterine Fibroid Treatment With
Uterine Fibroid Embolization

A minimally invasive technique UFE (Uterine Fibroid Embolization) is employed to shrink the non-cancerous vascular fibroids by using a catheter-based incision. This procedure is considered as one of the best minimally invasive techniques for the uterine fibroids treatment. This involves the deprival of blood majorly from the urinary artery, causing the blood supply to block. This process requires a minimal surgical procedure and only a short recovery time.

What are Uterine Fibroids?

Fibroids are one of the abnormalities that originated from unknown spots in the reproductive tract of women. Females with improper functioning of the vascular system and suffering from hypertension or cardiovascular atherosclerosis diseases are more often reported for the presence of one or more uterine fibroids. The uterine fibroids are classified into 4 categories as mentioned below;

Intramural fibroids
Subserosal fibroids
Pedunculated fibroids
Submucosal fibroids

Causes of Uterine Fibroids?

Different genetic and hormonal changes in the human body are suspected to be the prime causes of uterine fibroids. Some of the potent contributors to the generation, development, and proliferation of vascular fibroids are;

Estrogen
Progesterone
Growth hormones
Genetics
Misplaced cells
Early age periods
Obesity
Vitamin D deficiency
Alcohol consumption
Stress like miscarriage or first birth can also lead to the development of fibroids.

UFE - Uterine Fibroid Embolization

There are two major medical recommendations in response to the treatment of uterine fibroids. One is medication and the other is a non-pharmacological approach to uterus surgery called uterine fibroid embolization or uterine artery embolization (UAE). UFE is performed by interventional radiologists experienced in treating vascular diseases. A micro-catheter is introduced into the common uterine or femoral artery wall for injecting small polyvinyl alcohol or tris-acyl gelatin particles with the purpose to occlude the arterial blood flow into it.

This non-invasive process aims to trace the path of vasculature with shrinkage of vascular fibroids in size and blood. The systematic arterial circulation in the uterus following the UFE procedure, suggests the absence or decrease in the number of fibroids. Later on, the catheter will be removed from the uterus and pressure will be exerted to stop bleeding. The intravenous line of the uterus will be removed and the entire UFE process will be completed in 90 minutes. In this way, the fibroids reduce in size and eventually die, and the uterus recovers slowly. Uterine fibroids are of many types, some varying in their sizes while some are based on their location of existence. These are divided into 4 classes:

Submucosal Fibroids

Tumors that grow within the uterine cavity

Subserosal Fibroids

Tumors that grow outside the uterus

Intramural Fibroids

Tumours that grow within the muscular walls of the uterus

Pedunculated Fibroids

Unlike other three that grow within the tissue, these develop on stalk-like structures that come out from tissues in form of mushrooms

Dr Daniel Simon MD

INTERVENTIONAL RADIOLOGIST

Uterine Fibroid Treatment - UFE

Uterine fibroid treatment done with UFE (Uterine Fibroid Embolization) has proven to be quite effective in many women having fibroids in their uterus. Some can get rid of these benign tumours with simple medication while others need follow-up treatments. It is reported that about 3 in every 4 women got relief from vascular fibroids by UFE. Similarly, 1 out of every 5 women is also found to have undergone a second UFE treatment for the removal of uterine fibroids.

The advantage of the UFE method in vascular surgeries is a short or overnight hospital stay with less blood transfusion. It is less painful than the hysterectomy and is not affected by the abdominal scars from prior uterus surgeries.

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Symptoms of Uterine Fibroids

Uterine fibroids are benign complications of the uterus which can lead to symptoms such as;

Abdominal pain
Vascular cancer
Constipation
Vaginal bleeding
Anemia
Vascular hypertension
Frequent urination
Significant menstrual pain
Infertility, etc.

In biology, uterine fibroids are referred to as vascular tumours which means a sufficient supply of blood vessels mainly from the urinary artery.

Uterine Fibroid Treatment With Uterine Fibroid Embolization