Overview — What is UFE?
Uterine Fibroid Embolization (UFE) is a minimally invasive procedure performed by an interventional radiologist to treat symptomatic uterine fibroids. Tiny embolic particles are delivered into the uterine arteries, cutting the blood supply to the fibroids. Over weeks to months the fibroids shrink, reducing heavy bleeding, pelvic pain and pressure symptoms while preserving the uterus.
UFE is an excellent option for patients who want to avoid open surgery (hysterectomy) or those with multiple fibroids. It is offered in major Pakistani cities: Karachi, Lahore, Islamabad, Peshawar and Rahim Yar Khan.
Who is a candidate?
- Women with symptomatic fibroids (heavy bleeding, pain, bulk symptoms)
- Patients wishing to avoid hysterectomy
- Those with multiple fibroids or prior failed medical therapy
Quick facts
- Minimally invasive — small puncture wound
- Short hospital stay (same-day or overnight)
- Typical recovery 1–2 weeks
Symptoms & Diagnosis
Common fibroid symptoms include heavy menstrual bleeding (menorrhagia), pelvic pain, frequent urination, constipation, and pelvic pressure or bulk symptoms (visible or palpable mass). Diagnosis is made using clinical exam, pelvic ultrasound and MRI when needed.
Typical diagnostic steps
- Medical history & physical examination
- Transvaginal or abdominal ultrasound
- MRI pelvis (for complex cases or pre-procedure planning)
- Routine blood tests and pre-op workup
Procedure Step-by-step (What to expect)
- Admission & preparation: Brief pre-op tests and consent. Procedure done under local anesthesia with sedation.
- Access site: A small puncture is made in the wrist (radial) or groin (femoral) artery.
- Catheter navigation: Using X-ray guidance (fluoroscopy), the catheter is guided to the uterine arteries.
- Embolization: Small embolic particles are injected to block blood flow selectively to fibroids.
- Completion & recovery: Catheter removal, puncture site dressing, short observation — patient usually returns home same day or after overnight stay.
The procedure typically takes 60–120 minutes depending on anatomy and number of arteries treated. Pain control and IV fluids are provided as necessary.
Benefits of UFE compared to surgery
- Uterus-preserving (no hysterectomy)
- Faster recovery (1–2 weeks vs 4–8 weeks for hysterectomy)
- Lower immediate procedural morbidity
- Effective for multiple fibroids and large fibroid burden
Alternatives to discuss with your doctor
- Myomectomy (surgical removal of fibroids) — often preferred for women prioritizing future fertility
- Hysterectomy (definitive treatment)
- Medical therapy (hormonal management, GnRH analogues)
Recovery & Aftercare
After UFE you may experience cramping similar to severe period pain for the first 24–72 hours. Pain is managed with prescribed analgesics. Most patients can walk, eat and return home within 24 hours.
Practical aftercare tips
- Rest for 48–72 hours, gradually increase light activity
- Avoid heavy lifting and strenuous exercise for 1–2 weeks
- Keep the puncture site clean and dry
- Report fever 38°C, severe bleeding, or new severe pain promptly
Risks & Complications
UFE is generally safe when performed by experienced interventional radiologists. Possible risks include infection, non-target embolization (rare), vessel injury, and very rarely complications affecting ovarian function. Detailed pre-procedure counseling reduces risk and helps choose the best individualized option.
Cost of UFE in Pakistan
Costs vary with hospital, city and procedural complexity. Typical package pricing in Pakistan ranges from:
- Karachi & Lahore: PKR 220,000 — PKR 350,000
- Islamabad & Peshawar: PKR 200,000 — PKR 320,000
- Rahim Yar Khan & other cities: PKR 180,000 — PKR 300,000
Payment plans, package offers and installment options are available — contact the clinic for a tailored quote and insurance support documents if applicable.
Locations & Clinic Days — UFE in Pakistan
Karachi
OMI Hospital, Saddar (Karachi). Clinic days: Mon & Thu. Full UFE services including pre-op imaging and interventional suite.
Lahore
Ihsan Mumtaz Hospital, Jauhar Town. Monthly UFE lists with local coordination for pre-op tests and admission.
Islamabad
Visiting clinics and referral coordination for UFE procedures through partner hospitals. Call to schedule.
Peshawar
Depending on demand, UFE services are available via scheduled lists at regional hospitals. Contact for next available date.
Rahim Yar Khan
DIRC Center — Regular clinic days and UFE procedure scheduling services for southern Punjab.
Patient Stories & Testimonials
"I had heavy bleeding for years. After UFE with Dr. Memon I feel like a new person — minimal hospital stay and fast recovery." — S., Karachi
"Professional team, clear explanation and great follow-up. Symptoms improved by 80% within 3 months." — F., Lahore
Helpful Resources & Related Services
- Uterine Fibroid Embolization (this page)
- Varicocele Embolization — for men with varicocele-related infertility
- Hemorrhoid Embolization — minimally invasive treatment for bleeding hemorrhoids
- Blog: UFE vs Myomectomy — Which is right for you?
Frequently Asked Questions (FAQs)
Is UFE painful?
The procedure is performed under local anaesthesia or sedation; most discomfort occurs after, as cramping which is managed with medicines provided by the team.
How soon will I notice improvement?
Many patients notice reduced bleeding and symptom relief within 1–3 months; maximal shrinkage may take 3–6 months.
Can I get pregnant after UFE?
Some women have successful pregnancies after UFE; if future fertility is a major priority, discuss options like myomectomy with both specialists to choose the best approach.
Is UFE safe for large fibroids?
Yes, many large fibroids respond well to UFE, but individual assessment is important. Imaging (MRI) helps plan treatment.