Uterine Fibroid Embolization: An Advanced Minimally Invasive treatment for Uterine Fibroid Management

 

What Are Uterine Fibroids?

Uterine fibroids, also known as leiomyomas or myomas, are benign (non-cancerous) growths that develop in the muscular wall of the uterus. They can vary widely in size, from tiny seedlings to bulky masses that can distort and enlarge the uterus.

It's estimated that up to 70-80% of women will develop fibroids by age 50, though not all will experience symptoms. Despite their prevalence, the exact causes of uterine fibroids are not fully understood, but research points to several key factors:

• Hormonal Influences: Estrogen and progesterone, the two hormones that stimulate the development of the uterine lining during each menstrual cycle, appear to promote the growth of fibroids. Fibroids tend to shrink after menopause due to a decrease in hormone production.

• Genetic Factors: There's often a familial predisposition, suggesting that genetics play a role. If your mother or sister has fibroids, you are at a higher risk.

• Other Factors: Obesity, a diet high in red meat, and certain ethnic backgrounds also appear to be associated with an increased risk.

Common Symptoms of Uterine Fibroids

The symptoms of uterine fibroids can range from mild to severe, depending on their size, number, and location. Many women may not realise that their symptoms are linked to fibroids. You may consider seeking medical advice if you experience:

• Heavy or prolonged menstrual bleeding (menorrhagia)

• Pelvic pressure or pain

• Frequent urination

• Constipation

• Backache or leg pain

• Pain during intercourse

• Reproductive problems, including infertility or complications during pregnancy

These symptoms can be debilitating, affecting daily activities, work, and overall emotional well-being. Finding effective uterine fibroid treatments is crucial for improving quality of life.

Conventional Treatment Options for Fibroids

Traditionally, fibroid treatment has included:

• Medications: These may help manage symptoms like heavy bleeding but often provide only temporary relief and do not eliminate fibroids.

• Myomectomy: A surgical procedure to remove fibroids while preserving the uterus. While effective, it involves a hospital stay and recovery time.

• Hysterectomy: A more definitive solution where the uterus is removed. This option is usually considered in severe cases but may not be suitable for women who wish to preserve fertility.

While these methods remain effective, many patients today are seeking options for minimally invasive treatments for uterine fibroids that are less painful and support faster recovery and uterus preservation.

Uterine Fibroid Embolisation (UFE): A Modern Approach to Fibroid Treatment

What is Uterine Fibroid Embolisation?

Uterine Fibroid Embolisation (UFE) is a non-surgical procedure performed by an interventional radiologist. The goal is to shrink fibroids by blocking their blood supply, causing them to wither away. This minimally invasive treatment for uterine fibroids has gained significant recognition for its effectiveness and patient-friendly benefits. Studies show that over 90% of women who undergo UFE experience significant improvement or complete resolution of their symptoms within a year, making it a highly successful option for many.

The UFE Procedure at Manipal Hospital Yeshwanthpur: A Step-by-Step Guide

Your comfort and safety are paramount to us. Here’s a step-by-step guide to what you can expect during a uterine fibroid embolisation (UFE) procedure:

• Consultation and Evaluation: Our expert team, including gynaecologists and interventional radiologists at Manipal Hospital Yeshwanthpur, will thoroughly review your medical history, symptoms, and diagnostic images (like MRI) to determine if UFE is the right treatment option for you.

• The Procedure: Performed under local anaesthesia and mild sedation, a tiny incision (about the size of a pinprick) is made, usually in the groin. A thin, flexible tube called a catheter is inserted into the femoral artery.

• Targeting the Fibroids: Guided by advanced imaging (fluoroscopy), the interventional radiologist carefully navigates the catheter to the uterine arteries that supply blood to the fibroids.

• Embolisation: Microscopic particles, known as embolic agents, are injected through the catheter into these arteries. These particles block the blood flow to the fibroids, effectively starving them.

• Recovery: Once the procedure is complete (typically 1-2 hours), the catheter is removed, and pressure is applied to the incision site. Most patients stay in the hospital for one night for observation.

The fibroids, deprived of blood, gradually shrink over the following weeks and months, leading to a significant reduction in symptoms. Many patients report a significant improvement in heavy bleeding and pelvic pain, with a 75-80% reduction in fibroid volume observed in most cases.

Why Patients Are Choosing Interventional Radiology

More women are opting for uterine fibroid embolisation because it focuses not just on treatment but on comfort and recovery.

Key Benefits:

• Minimally invasive procedure with no large cuts

• Faster recovery after fibroid treatment

• Short hospital stays.

• Less pain compared to surgery

• Uterus preservation, an important factor for many women

For patients looking for a balance between effectiveness and convenience, this approach offers a compelling alternative.

The following table gives a quick overview of Interventional Radiology vs Conventional Surgery and explains why minimally invasive fibroid treatment options are becoming the preferred choice.

Who Can Consider Interventional Radiology for Fibroids?

You may be a suitable candidate for uterine fibroid embolisation treatment if you:

• Have symptomatic fibroids

• Prefer a non-surgical fibroid treatment

• Wish to avoid major surgery

• Want to preserve your uterus

A consultation with a qualified specialist is essential to determine the most appropriate treatment for your condition.

Conclusion

Living with fibroid symptoms can affect your daily comfort, confidence, and overall quality of life. However, with Uterine Fibroid Embolisation, a minimally invasive treatment for uterine fibroids, women have the choice to move beyond traditional surgery and opt for treatments that align with their lifestyle and long-term health goals.

If you are experiencing symptoms or have been diagnosed with fibroids, consult our experienced interventional radiologists at Manipal Hospital Yeshwanthpur and explore the modern uterine fibroid management options and take a confident step toward better health and well-being.