Uterine Artery Embolization Technique and Complications
The most troublesome complication that occurs after uterine embolization is fibroid expulsion, which can result in substantial pain, vaginal discharge, bleeding, and infection. Overall, it occurs in about 5% of patients, although the frequency depends on the location of the fibroid (46).Oct 4, 2012
What are the risks of uterine artery embolization?
Possible complications of this procedure include: Abnormal bleeding (hemorrhage) Injury to the uterus. Infection of the uterus or the puncture site in the groin.
What are the side effects of UFE?
Many women have mild to severe cramps for several days after uterine fibroid embolization. You may also have mild nausea or a low fever for 4 or 5 days. Some women have vaginal bleeding or greyish or brownish vaginal discharge for several weeks. These are all common side effects of the treatment.
What are the disadvantages of uterine fibroid embolization?
Fibroids are not removed. While UFE shrinks and treats the tumors, it does not remove them from the body. Infection. The risk of infection is quite low but there is a possibility of delayed infection during the first postsurgical year.
Does UFE damage uterus?
There’s possibility of damage to the uterus or ovaries. A review of studies published in 2018 showed lower rates of pregnancy after UFE than myomectomy (surgery to remove fibroids). Overall, there isn’t a lot of existing research on pregnancy outcomes after UFE.
Which is better hysterectomy or embolization?
The majority of patients declared being (very) satisfied about the received treatment: 78% of the uterine artery embolization group vs 87% in the hysterectomy group. Conclusion: In about two thirds of uterine artery embolization-treated patients with symptomatic uterine fibroids a hysterectomy can be avoided.
What happens to the uterus after uterine artery embolization?
The procedure involves inserting a catheter through the groin, maneuvering it through the uterine artery, and injecting the embolic agent into the arteries that supply blood to the uterus and fibroids. As the fibroids die and begin to shrink, the uterus fully recovers.
Will my stomach flatten after UFE?
Will I Get My Flat Stomach Back After UFE? Patients often ask about having a flat stomach after their UFE. After UFE, fibroid-related weight gain starts to come off. For women with large fibroids and/or multiple fibroids, this can mean a significant body change.
How painful is uterine artery embolization?
The amount of pain patients experience varies. The most significant pain usually occurs immediately following the procedure and over the next six hours. Patients report that this pain is similar to menstrual cramps. Some patients experience no pain.
Who is not a candidate for UFE?
Patients who have cervical, endometrial, or uterine cancer. Women with an active, recent, or chronic pelvic infection. Patients with significant peripheral vascular disease. Women with uncorrectable bleeding problems.
Do you get a period after uterine artery embolization?
Having the procedure may make you start a menstrual cycle (period) early or skip a period or two. This is normal. If you had heavy bleeding caused by your fibroids, often your periods will be better right away. Don’t be discouraged if it takes 2 or 3 cycles before they improve.
How long does uterine artery embolization last?
UAE is done by a doctor called an interventional radiologist. You will be awake, but you will not feel pain. This is called conscious sedation. The procedure takes about 1 to 3 hours.
What happens to fibroids after embolization?
Embolic agents are synthetic materials that block off blood flow to an artery, which in this case will cause the fibroid to shrink. Once the blood supply is cut off, the fibroid begins to shrink and die. As this occurs, the excessive bleeding and clots will cease, and any anemia will be resolved.
Do you pass fibroids after UFE?
In the weeks that follow UFE, approximately 5% of patients will pass fragments of necrotic (dead) fibroids, or even a whole fibroid. It is more likely to occur when the fibroids are submucosal. Your doctor will discuss whether this is the case with you.
Can you pass fibroids during a period?
While rare, you can pass fibroid tissue during your period. But this typically happens if you’ve been treated for fibroids with UFE.
How long does post embolization syndrome last?
PES usually occurs within 2448 hr of the procedure. The syndrome is self-limiting and usually resolves within 2 days but may last up to 7 days after the procedure 2-4, 11-14).
Does insurance cover uterine artery embolization?
Yes. Uterine Fibroid Embolization (UFE) also known as Uterine Artery Embolization (UAE) is routinely covered by insurance payors including Medicare and Medicaid.
Is UFE safer than hysterectomy?
CONCLUSION. For treatment of symptomatic uterine fibroids, UFE is a safe and effective nonsurgical alternative to hysterectomy and myomectomy.
How much does uterine embolization cost?
According to a study published in the Journal of Vascular and Interventional Radiology, the average total per-patient cost of uterine artery embolization for fibroids was about $11,600. Treatment with surgery — either removal of the fibroids or the uterus — typically costs $10,000-$20,000 or more.
Can I get pregnant after UFE?
Pregnancy is possible after uterine fibroid embolization, or UFE. There are risks however. There is an age-related risk of ovarian impairment. Studies show that there is a change in ovarian function after UFE.
How fast do fibroids shrink after embolization?
Most women need 1 to 2 weeks to recover after UAE before returning to work. It may take 2 to 3 months for your fibroids to shrink enough for symptoms to decrease and your menstrual cycle return to normal.
What are the symptoms of cancerous fibroids?
Symptoms of Uterine Cancer
- Abnormal heavy and prolonged bleeding that is not part of a menstrual period.
- Bleeding that occurs during or after menopause.
- Spotting or bleeding between periods.
- Severe bleeding and sharp pain that comes on suddenly.
- Pain in the pelvic area.
- Abnormal results from a PAP smear.
- Painful urination.
At what size should fibroids be removed?
Most experts believe that about 9-10 centimeters (about 4 inches) diameter is the largest size fibroid that should be removed laparoscopically.
Do you lose weight after Uterine Fibroid Embolization?
If you decide to have Uterine Fibroid Embolization, it is possible that you may lose some weight as your fibroid shrinks over time. Keep in mind that this is more likely to occur if you have large fibroids.
How long does a UFE procedure take?
On average the procedure takes about 45 minutes to an hour. UFE is performed by an interventional radiologist in a hospital or outpatient clinic. Most patients are able to go home within 23 hours after the procedure.
What size fibroid is too big for embolization?
This has led to the opinion that embolization of large fibroids has an increased risk of adverse events, and publications have reported thresholds of fibroids over 10 cm in diameter or a fibroid uterus greater than 24 weeks’ gestation as contraindications to UAE.
Will insurance cover uterine fibroid embolization?
Is UFE Covered By Insurance? Most major insurance carriers will cover the cost of uterine fibroid embolization, as it is a well-proven treatment for women suffering from fibroids.
Is UFE covered by Medicare?
What is UFE? UFE has been used to treat uterine fibroids for over 20 years and has an established role in the management of symptomatic fibroids. It has been shown to reduce symptoms and provide lasting results in up to 95% of cases and is approved by Medicare.
What color is fibroids discharge?
It may be red, pinkish, or brown. This can last for a few days or a few weeks. Fibroid tissue discharge is unusual after undergoing minimally invasive fibroid treatment, but it can happen. Even if it does, it doesn’t necessarily mean there’s a problem.
Does UFE cause early menopause?
Although there is never any guarantee, Uterine Fibroid Embolization is unlikely to bring on early menopause (also known as premature ovarian failure). However, there is a very small risk of non-target embolization of the blood supply to the ovaries.
What are the signs of fibroids shrinking?
- Acute pain: Most common symptom. A sharp pain in the abdomen that may be accompanied by swelling. …
- Chronic pain: Less severe, lasting pelvic pain.
- Fever: Often during pregnancy. May be mild.
- Bleeding: May be severe. …
- Temporary elevation in the white blood cell count8.
What causes uterine artery embolization?
Uterine artery embolization (UAE) is a minimally invasive treatment used to stop serious pelvic bleeding. The cause of such bleeding could be uterine fibroids (noncancerous tumors inside the uterus), trauma, malignant (cancerous) gynecological tumors, or hemorrhage following childbirth, among other conditions.