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Uterine Fibroid Embolization in the Pelvis

Uterine Fibroid Embolization.jpg

Uterine fibroid embolization (UFE) is an advanced minimally invasive medical procedure that offers an effective alternative to traditional surgical operations such as hysterectomy (removal of the uterus) or myomectomy (removal of fibroids). The goal of the procedure is to treat severe symptoms caused by fibroids, which are very common benign tumors in the uterine wall. These symptoms often include heavy and prolonged menstrual bleeding, anemia, chronic pelvic pain, pressure on the bladder, and a feeling of heaviness in the lower abdomen. The treatment is suitable for women suffering from these symptoms who wish to preserve their uterus or avoid open surgery and a long recovery time.

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The process is performed in a catheterization room by an interventional radiologist, usually under deep sedation and local anesthesia, without the need for full general anesthesia. The physician inserts a catheter (a thin, flexible tube) through a tiny puncture in the groin artery or wrist. Using advanced X-ray fluoroscopy guidance, the physician navigates the catheter up the arterial system until precisely reaching the arteries supplying blood to the uterus and fibroids. At this point, special tiny particles (embolic agent) are injected through the catheter. These particles are carried in the bloodstream, get stuck in the small blood vessels feeding the fibroids, and block them. Blocking the blood and oxygen supply causes the fibroids to "starve," gradually shrink, and die, thereby bringing significant relief in symptoms over time, while the healthy uterine tissue recovers thanks to alternative blood supply.

Among the advantages are
 

  • The treatment preserves the uterus and eliminates the need for a full hysterectomy surgery.

  • The procedure is minimally invasive and performed through a tiny skin incision with no surgical scars.

  • Recovery time and return to routine are significantly faster compared to open abdominal surgery.

  • The procedure usually requires only a short hospitalization of one night for observation.

  • The treatment is very effective in reducing heavy bleeding and improving quality of life in the long term.

Disadvantages and risks
 

  • In the first few days after the procedure, strong pain and cramping requiring significant medication treatment.

  • May experience post-embolization syndrome: includes low-grade fever, nausea, and fatigue, for a week.

  • There is a low risk of infection in the uterus or at the catheter insertion site in the groin.

  • In rare cases, the procedure may lead to impaired ovarian function or premature menopause.

Created & Authored by Dr. Michal Mauda-Havakuk. All rights reserved 2026 ©
Content is for general informational purposes only and is not a substitute for professional medical advice or consultation

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