Non surgical treatment for uterine fibroid

Center for Non surgical Treatment
Non-surgical treatment works for fibroid - Uterine Artery Embolization
Because of severe limitations of surgery like removal of uterus and post operative discomforts and recurrence after myomectomy, newer non surgical techniques have come which have made the surgical treatments almost obsolete
What it is - It is a non-surgical treatment alternative to myomectomy and hysterectomy called Uterine Artery / fibroid 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: -
1. Experiencing symptoms of uterine fibroids.
2. A desire to retain her uterus and pursue hysterectomy alternatives.
3. Does not desire surgery.
4. Poor surgical candidate (e.g., because of obesity, bleeding disorders, anemia).
5. If she is not pregnant.
How it is done - "Uterine fibroid embolization is a non-invasive, non-surgical 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.
Indication
1. Single/multiple Uterine Fibroids.
2. Adenomyosis.
3. Failed myomectomy / recurrence of fibroids after myomectomy
4. High risk patient for surgery like obesity, anemia, chronic renal failure etc.
5. Post-partum Hemorrhage
6. Bleeding from Cancer of Cervix & Uterus
7. Pre-operative embolization to reduce bleeding during uterine surgery.
what are benefits of Uterine fibroid embolization -
1. It is performed mild aneasthesia.
2. Requires only a tiny nick in the skin (No surgical incision of abdomen).
3. Recovery is shorter than from hysterectomy or open myomectomy.
4. Virtually no adhesion formation has been found. But in surgery adhesions are common.
5. All fibroids are treated at once, which is not the case with myomectomy.
6. Recurrent growth of treated fibroids is uncommon.
7. Uterine fibroid embolization involves virtually no blood loss or risk of blood transfusion.
8. If the presenting complaint was excess vaginal bleeding, 87-90% of cases experiences resolution within 24 hours.
9. Emotionally, financially and physically - embolization can have an overall advantage over other procedures for the patient as the uterus is not removed.
Side effects -
about 1% chances for infection which is typically characterized by fever and smell from vagina. It needs just antibiotics and it subsides 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 is also expected, it is well controled by oral tablets.
It’s overall success rate is about 96-98% which is unlikely in other method of treating fibroids.
1. It is the only method that can treat the multiple fibroid in one sitting.
2. The uterine artery embolization treats the fibroid and adenomyosis together.
3. No surgical scar or blood loss during the procedure.
4. It needed just day care or 24 hrs hospitalization.
5. Short recovery time it may be one day.
For more detailed information login to website www.indianinterventionalradiology.com
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Dr. Pradeep Muley
Interventional Radiologist
New Delhi, India