![]() There are now 7 randomised control trials (RCTs) comparing UFE with surgery (myomectomy or hysterectomy). Since then many research studies have document the effectiveness. Her periods become very light and she is very happy –”UFE changed my life”. The uterine volume reduced from 781ml to 349ml. After UFE, fibroids are shrunken, scarred and no longer viable, seen as dark nodules. Pre-UFE MRI showed multiple fibroids denoted as “F”. She continued to suffer from HMB but declined hysterectomy. ![]() She suffers from severe heavy menstrual bleeding (HMB) and failed conservative treatments including removal of some of the fibroids and Mirena. Active fibroids that are rich in cells and blood suppl tend to shrink more, than “fibrous” or less active fibroids.Ĭase Study 2: 48 year old wife of a doctor failing conservative treatments This amount of shrinkage is sufficient for symptom control in more than 90% of patients.įibroid shrinkage is related to the composition of the fibroid. On average, fibroid will shrink 60% of its volume. Therefore, the number of fibroids does not matter. UFE treats all fibroids, large or small, one or multiple are by the same procedure-blocking of the left and right uterine arteries by flowing in small particles. She is glad that she can fit her jeans again. Note the marked reduction of fibroid volume from 533ml to 211ml at 6 month progress MRI the fibroid is dead, no longer viable, seen as dark signal without contrast enhancement the normal looking viable enhancing myometrium is labelled “M”. She is well and healthy otherwise, and she is not keen in major surgery. She also suffers from bloating and pressure symptom, as well as frequency of urination day and night. As a result, the fibroids die, and normal uterus remains alive.Ĭase Study 1: 43 year old teacher with a bulging abdomen Some particles may enter normal myometrial tissue, causing transient lack of oxygen, but dormant vessels are then recruited to keep normal uterus alive. Particles blocking the blood vessels supplying fibroid will lead to shrinkage. Abnormal growths like fibroids do not have the ability to reopen or recruit blood vessels. Once the baby is born, the uterus shrivels down and most of the blood vessels also shut down. The uterus has an immense capacity to re-open and recruit dormant blood vessels when needed, like during pregnancy. During pregnancy, we know that the uterus enlarges tremendously, carrying with it 40 times increase in blood flow. It is only about 60 to 80 ml when a woman is not pregnant. ![]() The uterus is a very special organ in human body. How does UFE shrink fibroids without harming the normal uterus? Haven’t heard about this? Well, your gynaecologist might not have mentioned UFE, which is performed by an Interventional Radiologist, not gynaecologists.ĭuring UFE, small particles are injected to block the arteries to the uterus. Studies has shown that UFE is as effective as hysterectomy, but much less invasive with quicker recovery. UFE (Uterine Fibroid Embolisation), also known as UAE (Uterine Artery Embolisation), is a minimally invasive radiological procedure that will shrink fibroids and alleviate fibroid symptoms such as heavy menstrual bleeding (HMB), period pain, pelvic pressure and bladder symptoms. Local anaesthetic, no surgical incisions, one night in hospital, one-week recovery-too good to believe? Read on to find out more. ![]() It is called UFE or Uterine Fibroid Embolisation. Thankfully we are in the 21 st Century, there is now a much less invasive alternative to a hysterectomy. Have you ever wondered if we can shrink fibroid without cutting out the uterus? Often, they have been told to put up with it, wait for menopause, or have a hysterectomy. Many Australian women are troubled by fibroids symptoms such as heavy menstrual bleeding, period pain, bladder and pressure symptoms.
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