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Uterine Fibroid Embolization

Uterine fibroid embolization, also known as uterine artery embolization is a minimally invasive procedure that is performed by an Interventional Radiologist (IR), a medical doctor with extensive experience in diagnostic radiology. Prior to the procedure, some tests may have to be done. Please refer to our resource on what to expect before treatment. The entire fibroid treatment typically lasts less than one hour, and is performed as an outpatient therapy. Patients usually have to stay anywhere from four to 23 hours after the procedure is complete.

The uterine fibroid embolization procedure begins with a tiny nick done in the groin area. This nick provides the IR with access to the femoral artery in the upper thigh. Using specialized X-ray equipment, the IR passes a catheter (small tube) into the femoral artery, to the uterine artery, and guides it near the location of the fibroid tumor. When the IR has reached the location of the fibroids, Embosphere® Microspheres (small spheres) are injected through the catheter and into the blood flow leading to the uterine fibroid tumors.

The microspheres block the vessels around the fibroid, depriving it of the oxygen it needs to grow. The oxygen deprivation results in fibroids shrinking. The microspheres remain permanently in the blood vessels at the fibroid site.

The catheter is then moved to the other side of the fibroid tumor using the same nick in the thigh. Once the IR has completed embolization of the uterine artery on both sides, the catheter is gently removed and the IR places finger pressure over the small nick in your thigh. After holding the puncture site for a few minutes to help stop any bleeding, the IR may close the incision using a vascular closure device.

After the procedure, you may experience some discomfort such as abdominal cramping or pain. You and your doctor will determine at that point what medications may be needed to keep you comfortable. The post-procedure care that you receive will be administered by skilled nurses and your IR who will consult with your OB/Gyn. Post procedure appointments will need to be scheduled, and since these appointments vary, be sure to ask your IR when they need to be scheduled.  

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