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1). Uterine Artery Embolization

What it is – It is a non- surgical treatment called Uterine Artery Embolization it is done without any scar in abdomen and it need just mild sedation. No risk of blood loss or blood transfusion. It can be done in women who: -  

  • Experiencing symptoms of uterine fibroids.
  • A desire to retain her uterus and pursue hysterectomy alternatives.
  • Does not desire surgery.
  • Poor surgical candidate (e.g., because of obesity, bleeding disorders, anemia).
  • If she is not pregnant.

How it is done - "Uterine fibroid embolization is a non-invasive, non-surgical outpatient procedure. This procedure blocks the blood supply of the arteries that supply fibroids causing them to shrink. Embolization uses angiographic techniques to place a catheter into the uterine arteries so that particles the size of grains of sand can be injected through catheter and into the blood supply of the fibroids.

What it accomplishes –

  • Single / multiple Uterine Fibroids. 
  • Adenomyosis. 
  • Failed myomectomy / recurrence of fibroids after myomectomy 
  • High risk patient for surgery like obesity, anemia, chronic renal failure etc. 
  • Post-partum Hemorrhage 
  • Bleeding from Cancer of Cervix & Uterus 
  • Pre-operative embolization to reduce bleeding during uterine surgery.

Side effects – about 1% chances for infection is typically characterized by fever and smell from vagina. It needed typically antibiotics and it subsided in 99% of women, remaining may need another surgical procedure. Mild pelvic pain will remain for 1-2 days it is controlled very well by simple pain medication.

Mild fever also aspected, it is well control by paracetalmole oral tablets. About a half percentage of the woman land-up in short term menopause letter they may resume normal periods. 

Pros & Cons of surgery – it shows overall successes rate is about 96-98% which is unlikely in other method of treating fibroids.

  • It is the only method that can treat the multiple fibroid in one sitting.
  • The uterine artery embolization treats the fibroid and adenomyosis together.
  • No surgical scar or blood loss during the procedure.
  • It needed just day care or 24 hrs hospitalization.
  • Short recovery time it may be one day.

Which is best treatment option