Uterine fibroids are the most common benign (non-cancerous) tumours of the uterus, affecting a large number of women by age 50. They can cause symptoms like heavy menstrual bleeding, pelvic pain and pressure, frequent urination, anaemia and infertility, necessitating treatment in many women.

Many women believe that a hysterectomy or major surgery are the only ways to find relief. But there is a non-surgical, minimally invasive alternative: Uterine Fibroid Embolization (UFE).

In Uterine Fibroid Embolization (UFE), tiny particles are injected into the uterine arteries, blocking blood flow to fibroids and causing them to shrink over time. While preserving the uterus, the UFE approach offers a viable alternative to surgical options like hysterectomy or myomectomy, ensuring shorter recovery time and minimal complications. Performed by interventional radiologists, this is a safe and effective treatment for fibroid-related symptoms.

How does UFE work?

Insertion of catheter: A small puncture is made in the wrist or groin, and a thin tube (catheter) is inserted into an artery.
X-ray guidance: The catheter is guided to the uterine arteries using X-ray imaging (fluoroscopy).
Particle injection: Small particles or embolic agents are injected to obstruct blood flow to the fibroids, thus starving them.
Fibroids shrink: As they lose blood supply, the fibroids shrink over weeks to months, reducing symptoms.

Why might you need a UFE?

Heavy bleeding
Anaemia caused by uterine bleeding
Bladder pressure resulting in frequent urination
Pressure on bowel causing constipation and bloating
Pain during intercourse
Pain in your back or legs caused by fibroids pinching nerves
Infertility
Enlarged uterus and fullness in your belly

What are the benefits of a non-surgical UFE?

Faster recovery and short hospital stay with quick return to work
Preserves uterus with potential for future pregnancy
Less strain on the body
No scarring or surgical scar
Nearly 94% success rate
Reduced chance of fibroid recurrence
No or minimal blood loss
Significant improvement in bleeding and pain
Lower risk of complications compared to surgery

Who should consider UFE?

All fibroids don’t require treatment. The treatment works well for women who:

Have symptomatic fibroids
Wish to avoid surgery
Experience heavy bleeding and pain
Have frequent urination or pressure on the bladder

Post-procedure recovery

After UFE treatment, recovery is faster compared to surgery. Women may experience mild to moderate pelvic cramping for a few days; however, the pain can be managed effectively with medication. Most women can resume light activity within a day or two and return to normal work-life within a week. Follow-up visits are advised to ensure that fibroids continue to shrink and symptoms keep improving.