Uterine artery embolization for fibroid

Uterine artery embolization (UAE) is a minimally invasive procedure used to treat uterine fibroids. Uterine fibroids are non-cancerous growths that can develop in the uterus and cause a variety of symptoms, including heavy bleeding, pain, and pressure.

 

During UAE, a catheter is inserted through an artery in the groin and guided to the blood vessels supplying the fibroids. Tiny particles, such as small plastic or gelfoam balls, are then injected through the catheter to block the flow of blood to the fibroids, causing them to shrink over time.

 

UAE is typically performed under conscious sedation or general anesthesia and can be done on an outpatient basis, allowing for a quicker recovery than traditional surgical procedures, such as a myomectomy or hysterectomy.

 

Common side effects of UAE can include cramping, pain, nausea, and bloating. Some women may experience irregular spotting or heavy bleeding after the procedure, which typically resolves within several weeks.

UAE is not recommended for women who wish to become pregnant, as it can affect the blood supply to the uterus and potentially harm the developing fetus.

 

The decision to undergo UAE should be made in consultation with a doctor, taking into consideration the size and location of the fibroids, the severity of symptoms, and individual health and medical history.

 

 

reference) ivcnorthwest.com

 

The indication uterine artery embolization in treatment of uterine leiomyoma

Uterine artery embolization (UAE) is a minimally invasive procedure that is used to treat uterine leiomyomas (fibroids). The following are some of the indications for UAE in the treatment of uterine fibroids:

1. Heavy bleeding: UAE can be used to reduce heavy menstrual bleeding caused by fibroids.
2. Pain: UAE can be used to relieve pain and discomfort caused by fibroids.
3. Infertility: UAE may be indicated in women with fibroids who are trying to become pregnant, as the fibroids can interfere with conception and implantation of the fertilized egg.
4. Avoidance of hysterectomy: UAE may be indicated in women who want to avoid a hysterectomy, which is a surgical procedure to remove the uterus. UAE is a less invasive alternative that preserves the uterus.
5. Size and location of fibroids: The size and location of the fibroids can also be an indication for UAE. For example, UAE may be indicated in women with fibroids that are located in a way that makes them difficult to remove surgically, or in women with very large fibroids.

It is important to note that UAE is not suitable for all women with uterine fibroids. The best course of treatment will depend on the individual woman's health, the size and location of the fibroids, and other factors. Women should discuss their treatment options with their doctor to determine the best course of action for their individual needs.

 

Side effect of uterine artery embolization

 

Uterine artery embolization (UAE) is a minimally invasive procedure used to treat uterine leiomyomas (fibroids). Like any medical procedure, UAE may be associated with certain side effects. Some of the most common side effects of UAE include:

1. Pain: Most women experience some pain or discomfort during or after the procedure, which can be managed with pain medication.
2. Nausea and vomiting: Some women may experience nausea and vomiting after the procedure, which can usually be managed with medication.
3. Menstrual changes: After UAE, women may experience changes in their menstrual cycle, such as heavier or lighter periods, or a change in the length of their cycle.
4. Urinary problems: Some women may experience urinary problems after UAE, such as difficulty urinating or frequent urination.
5. Infection: There is a small risk of infection after UAE, which can be treated with antibiotics.

It is important to note that not all women will experience side effects after UAE, and the severity and duration of any side effects can vary. Most side effects are temporary and resolve within a few weeks to a few months after the procedure.

 

 

Is it possible to be pregnant after uterine artery embolization

 

It is possible to become pregnant after uterine artery embolization (UAE), but the effect of UAE on fertility and pregnancy outcomes is not well understood. Some studies have shown that women who have had UAE may have a reduced ability to become pregnant, while others have shown no significant impact on fertility.

 

Additionally, pregnancy after UAE may be associated with an increased risk of complications, including preterm labor, placental abruption, and the need for a cesarean delivery. However, these risks may be related to the underlying fibroids and not necessarily the procedure itself.

 

It is important for women to discuss their individual situation and potential risks with their doctor before trying to conceive after UAE. Some women may be advised to wait for several months to a year after the procedure before trying to become pregnant, while others may be advised to pursue alternative methods of conception, such as in vitro fertilization (IVF).

 

Overall, the best course of action will depend on the individual woman's health, the size and location of the fibroids, and other factors, and should be discussed with a doctor experienced in treating fibroids and managing pregnancy.

 

 

Success rate of UAE in treatment of fibroid

Uterine artery embolization (UAE) is considered an effective treatment option for uterine fibroids in many women. The success rate of UAE varies depending on the size and location of the fibroids, as well as the symptoms they are causing.

Studies have shown that UAE can effectively reduce the size of fibroids and alleviate symptoms such as heavy bleeding, pain, and pressure. According to a systematic review of multiple studies, the overall success rate of UAE in treating fibroids was estimated to be between 70-80%.

It's important to note that not all women are candidates for UAE and the procedure may not be appropriate for those with large or multiple fibroids, or for women who wish to become pregnant in the future.

 

The decision to undergo UAE should be made in consultation with a doctor, taking into consideration the size and location of the fibroids, the severity of symptoms, and individual health and medical history.

 

 

Which is more effective between UAE and high intensity focused ultrasound (HIFU) for treatment of fibroid

 

Uterine artery embolization (UAE) and high-intensity focused ultrasound (HIFU) are both minimally invasive treatments used for the management of uterine fibroids. Both procedures have advantages and disadvantages and the most effective option depends on several factors, including the size and location of the fibroids, the patient's medical history and fertility goals.

UAE is considered a highly effective treatment for symptomatic fibroids, with success rates ranging from 70-80% in reducing fibroid size and symptoms such as heavy bleeding and pain. However, UAE is not recommended for women who wish to become pregnant in the future.

HIFU, on the other hand, uses high-intensity ultrasound to destroy the fibroids, and is considered a good option for women who wish to preserve their fertility. HIFU has been shown to be effective in reducing fibroid size and symptoms, with success rates of around 70-80% in some studies.

 

Ultimately, the best treatment option for each patient depends on their individual needs and circumstances, and a thorough discussion with a doctor is necessary to determine the most appropriate treatment.