Uterine Fibroid Embolization
A minimally invasive alternative to surgery for uterine fibroids
What is Uterine Fibroid Embolization (UFE)?
Uterine fibroid embolization (UFE) is a minimally invasive procedure used to treat uterine fibroids—non-cancerous growths in the uterus. UFE works by blocking the blood supply to the fibroids, causing them to shrink and eventually die.
It is considered an alternative to surgical options like hysterectomy or myomectomy, offering shorter recovery times and uterus preservation.
Procedure Details
Pre-Procedure
Patients typically undergo imaging tests (like MRI or ultrasound) to determine the size and location of the fibroids. A consultation with an interventional radiologist is usually conducted to discuss the procedure, risks, and expected outcomes.
During the Procedure
The procedure is usually done under local anesthesia with sedation, though general anesthesia may be used in some cases. A small incision is made in the groin or wrist to access the femoral or radial artery, respectively.
A catheter is threaded through the artery to the uterine artery, which supplies blood to the fibroids. Tiny particles (embolic agents) are then injected through the catheter to block the blood flow to the fibroids. The procedure typically takes 1-2 hours.
Post-Procedure
Patients usually stay in the hospital for a few hours to overnight for observation. Common symptoms post-UFE include cramping, pelvic pain, and mild fever, often referred to as post-embolization syndrome.
Recovery generally takes 1-2 weeks, with most women returning to normal activities within this time.
Benefits of UFE
Minimally Invasive
No large incisions are needed, reducing recovery time and risk of complications.
Uterus Preservation
The uterus remains intact, which is important for women who wish to retain their fertility.
Symptom Relief
Most women experience significant relief from symptoms like heavy menstrual bleeding, pelvic pain, and pressure.
Shorter Recovery
Compared to traditional surgery, UFE typically has a faster recovery period.
Risks and Considerations
- •Post-Embolization Syndrome: This includes pain, fever, and malaise following the procedure, which is usually managed with medications.
- •Fibroid Recurrence: While UFE is effective, there is a possibility that fibroids could recur or new ones could develop.
- •Fertility Concerns: Although UFE preserves the uterus, its impact on fertility is still being studied, and some women may experience complications if they attempt to conceive after the procedure.
- •Complications: As with any medical procedure, there is a risk of infection, bleeding, or damage to the uterus, though these are rare.
Who is a Candidate?
- ✓Women with symptomatic fibroids who wish to avoid surgery
- ✓Those who are not ideal candidates for surgery due to medical conditions
- ✓Women who prefer a uterus-sparing procedure
Follow-Up Care
Regular follow-up with imaging tests to monitor the size of the fibroids and the resolution of symptoms. Ongoing gynecological care to manage any potential complications or recurrence of fibroids.
UFE is a well-established procedure with a high success rate for symptom relief, offering an effective alternative to surgical options for many women.
Schedule a Consultation
Interested in learning if UFE is right for you? Contact us to schedule a consultation with our specialists.
Quick Facts
Procedure Time
1-2 hours
Recovery Time
1-2 weeks
Success Rate
85-90% symptom relief
Hospital Stay
Typically outpatient