Uterine Artery Embolization

Uterine artery embolization (UAE) is a method employed to halt vaginal bleeding that may be resulted from various factors such as uterine fibroids, injuries, cancerous growths, childbirth, and other medical conditions. This procedure is less invasive and functions by obstructing the flow of blood to the uterus.

What is uterine artery embolization?

Uterine artery embolization, also referred to as UAE or UFE, offers an alternative to surgery for women experiencing symptoms due to fibroids or adenomyosis. This procedure can be done on an outpatient basis and is recognized and authorized by the (FDA), allowing the preservation of the uterus.

An interventional radiologist, who has expertise in using blood vessel imaging to diagnose and treat specific health conditions, conducts fibroid embolization procedures.

In order to treat fibroids, the radiologist utilizes imaging techniques to direct a slim tube known as a catheter into the arteries that provide blood to the fibroids. Following this, the radiologist introduces tiny particles called microspheres, which obstruct the specific arteries and cut off their blood supply. Consequently, both the fibroids and the uterus reduce in size.

Why the Procedure Is Performed

UAE can be an efficient method for addressing symptoms related to fibroids. It is advisable to consult with your healthcare provider to determine the potential success of this treatment option for your specific case.

Uterine artery embolization (UAE) can be advantageous for women.

• Experiencing signs of fibroids such as abnormal bleeding, anemia, discomfort in the pelvic area, frequent nocturnal urination, and difficulties with bowel movements.
• Have previously attempted medicinal or hormonal methods in order to alleviate symptoms.
• After giving birth, UAE is occasionally performed to address severe vaginal bleeding.

Who is an Ideal Candidate for Uterine Artery Embolization?

Uterine artery embolization is a highly effective treatment for alleviating the painful symptoms resulting from fibroids and adenomyosis. This procedure offers several advantages, such as:

• Symptoms of fibroids or adenomyosis can be alleviated within a timeframe of three to six months.
• Anemia can be effectively treated, resulting in the elimination of the necessity for iron supplements or blood transfusions.
• Preserving the well-being of the uterus and ovaries, as well as other healthy tissues.
• The recovery time is brief due to the procedure being minimally invasive.

This procedure can effectively treat the majority of fibroids in terms of their sizes and positions. However, in certain cases, patients may have fibroids that are either too large or situated in difficult areas within the uterus, making the treatment unsuccessful.

The rehabturk Medicine Fibroid and Adenomyosis Program conducts a thorough assessment of all patients, which includes identifying and mapping all fibroids. Afterward, a team of experts evaluates each patient to determine their eligibility for uterine artery embolization.

What can I expect to encounter while undergoing the treatment?

The procedure of fibroid embolization usually takes around one to two hours. Afterward, you have the option to either return home on the same day or decide to stay overnight for the purpose of recovering.

The procedure involves several steps:

• The medical professional creates a small cut either in the wrist or the groin area.
• The doctor utilizes specific X-ray tools to insert a catheter into the arteries that lead to the uterus.
• Once the desired position inside the uterus is reached, the doctor administers the microspheres into the fibroids’ bloodstream by injecting them through the catheter.
• After finishing the embolization procedure, the doctor carefully withdraws the catheter from the patient’s body.
• In order to stop any bleeding, the physician applies pressure to the area where the puncture was made and then applies a small bandage.
• You might feel a certain level of discomfort, such as cramps or pain in the abdomen. Both you and your doctor will collaborate to identify suitable medications to help alleviate any discomfort and ensure your comfort.

What to Expect During Recovery

Uterine artery embolization is a procedure that can be done without staying in the hospital. Usually, patients are able to go home a few hours after the procedure and can get back to work and light activities within a few days. It usually takes about two weeks to fully recover. Medications are given to reduce pain and swelling.

It is normal to have watery or mucus-like vaginal discharge for a few weeks after the procedure. Some patients may also experience post-embolization syndrome a few days later, characterized by symptoms such as a mild fever, nausea, pain, fatigue, or vomiting.

Most patients find relief from symptoms of fibroids or adenomyosis within three months after the procedure, and their menstrual cycle usually returns to its normal pattern.

If you are still experiencing post-embolization syndrome for a few days after the procedure, it is important to contact your doctor to keep an eye on any recovery issues.

After the procedure, patients at the Weill Cornell Medicine Fibroid and Adenomyosis Program are required to have a follow-up appointment one week later. This visit can be conducted either in person or through telehealth.

What are the benefits of UAE?

The UAE procedure, as compared to a hysterectomy or myomectomy, can potentially alleviate the symptoms of fibroids, such as pain, pressure, and bleeding. It offers a lesser degree of pain compared to a hysterectomy and has the capability to treat multiple fibroids simultaneously. Additionally, the presence of abdominal scar tissue from previous surgeries does not hinder the effectiveness of UAE.

• Involves a shorter hospital stay
• Enables you to return to work and engage in other activities more quickly.
• Has lower rates of blood transfusion

Treatment in Türkiye:

The medical staff of surgical teams, doctors, and consultants at REHABTÜRK can provide the best treatment options and free consultations, striving to stay up-to-date on the latest medical technologies and methods.

Ask for a free consultation.