Dr. Handley Explains How UFE Works

“Uterine fibroid embolization is a procedure which can be performed on women with uterine fibroids which are causing symptoms. Symptoms can include dilation of the pelvis due to the large fibroids, abnormal bleeding, pain.

Fibroids can be treated with either a hysterectomy, which is removal of the uterus, or a myomectomy, which is removal of the fibroids from the uterus but not the entire uterus. 

Many patients who wish to avoid major surgery and a hospital stay and a major incision into the abdomen and the pelvis elect to undergo uterine fibroid embolization, which will shrink the size of the fibroids and relieve the symptoms.

This is accomplished by placing a small catheter into the artery and selecting the artery that goes to the uterus itself, then delivering small particles into the artery until the flow is almost stopped such that this will destroy the blood flow to the fibroids themselves. 

This will relieve the symptoms from the fibroids over the next 3-6 months. The fibroids will shrink and the patient has avoided a major operation.”

• Dr. Handley

Understanding Uterine Fibroid Embolization (UFE)

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure designed to treat symptomatic fibroids while preserving the uterus. Fibroids, which are non-cancerous growths in or on the uterus, can cause various symptoms, including pelvic pressure, pain, abnormal bleeding, and even issues with fertility in some cases. 

UFE is an ideal option for women who want to avoid major surgery, such as a hysterectomy, and is effective in significantly reducing the size of fibroids and alleviating related symptoms over time.

Symptoms of Uterine Fibroids

Uterine fibroids can vary in size, number, and location, causing symptoms that range from mild to severe. Recognizing the symptoms early can help in seeking timely treatment and prevent complications. 

Common symptoms of uterine fibroids include:

• Pelvic pressure or pain: Enlarged fibroids can cause an ongoing feeling of heaviness or discomfort in the pelvic region.
• Heavy or prolonged periods: Many women with fibroids experience heavier-than-normal menstrual bleeding, which can lead to anemia and fatigue.
• Frequent urination: Fibroids pressing on the bladder can increase the need to urinate.
• Constipation or bloating: When fibroids press on the intestines, they may cause gastrointestinal symptoms.
• Pain during intercourse: Some fibroids, depending on their location, may cause discomfort during intimate activities.

If you’re experiencing any of these symptoms, consulting a specialist can help you determine whether UFE or another treatment is the best option for relief.

How Uterine Fibroid Embolization Works

Uterine Fibroid Embolization targets the blood supply to the fibroids, cutting off their nourishment and causing them to shrink. Here’s an overview of how UFE works:

• Catheter Placement: A small catheter is inserted into the femoral artery in the upper thigh or, in some cases, the wrist. Using real-time imaging, the physician guides the catheter to the uterine artery that supplies blood to the fibroids.
• Delivery of Embolic Agents: Tiny particles are then injected through the catheter and into the uterine artery, where they block the blood flow to the fibroids. Without blood flow, the fibroids begin to shrink and die over the next few months.
• Completion: Once the blood supply is sufficiently restricted, the catheter is removed, and a small bandage is applied. No stitches are required, and patients typically go home the same day.

The entire UFE procedure usually takes around an hour and is performed under local anesthesia with sedation, making it a convenient and relatively comfortable experience.

Benefits of Uterine Fibroid Embolization

UFE offers several advantages, especially for women who want to avoid more invasive procedures:

• Preserves the uterus: Unlike hysterectomy, UFE keeps the uterus intact, which can be important for women who wish to retain fertility or avoid major surgery.
• Minimally invasive: No large incisions are required, reducing the risk of complications and shortening recovery time.
• Outpatient procedure: UFE is typically performed as an outpatient procedure, allowing patients to return home the same day.
• Effective symptom relief: UFE effectively reduces symptoms such as pelvic pain, heavy bleeding, and urinary frequency in most patients.
• Quick recovery time: Most women resume normal activities within a week, significantly faster than traditional surgical recovery.

For women with symptomatic fibroids who want a reliable, long-lasting solution without the invasiveness of surgery, UFE is an ideal choice.

Preparing for UFE

While UFE is a minimally invasive procedure, preparation can ensure a smoother experience and recovery. Here are a few steps patients may take before the procedure:

• Review your medical history: During your consultation, your doctor will review any medications you’re currently taking, including supplements, and advise you on what to stop or continue before the procedure.
• Arrange transportation: Since sedation is typically used, it’s essential to have someone available to drive you home afterward.
• Follow fasting instructions: Your doctor may instruct you to avoid eating or drinking a few hours before the procedure.
• Wear comfortable clothing: Choose loose, comfortable clothes to wear to the procedure for easier dressing post-treatment.

By following these preparation guidelines, patients can ensure a safe, smooth, and efficient experience on the day of their UFE treatment.

Aftercare Tips Following UFE

Following UFE, patients can generally expect a quick recovery, but a few aftercare steps are essential to promote optimal healing:

1. Rest and hydrate: Rest is crucial for the first few days after UFE, and staying well-hydrated aids in recovery.
2. Avoid heavy lifting: Refrain from strenuous activities and heavy lifting for at least one week to prevent strain on the treatment area.
3. Use pain management as directed: Mild cramping and discomfort are common in the initial recovery days; over-the-counter pain relievers or prescribed medications can help manage this.
4. Wear compression garments: Wearing compression garments as directed supports blood circulation and reduces swelling.
5. Attend follow-up appointments: Follow-up visits are essential to monitor recovery and the shrinking of the fibroids.

With these tips, most patients find themselves able to return to daily activities within a week, experiencing steady relief from fibroid symptoms as the fibroids continue to shrink.

Discover Relief with North Texas Vein & Vascular

If you’re experiencing uncomfortable symptoms from uterine fibroids but want to avoid major surgery, Uterine Fibroid Embolization (UFE) may be the ideal solution. This minimally invasive procedure offers lasting relief from pain, heavy bleeding, and other fibroid symptoms without the extended recovery time of traditional surgery. 

At North Texas Vein & Vascular, our experienced team, led by Dr. Robert Handley, specializes in UFE and provides comprehensive care to ensure you feel comfortable, informed, and confident throughout your treatment journey.

Our team will work closely with you to create a personalized treatment plan tailored to your needs and lifestyle, providing exceptional care every step of the way. If you’re ready to regain control over your health and enjoy life without the symptoms of fibroids, contact North Texas Vein & Vascular today to schedule a consultation and take the first step toward effective, minimally invasive relief.

Frequently Asked Questions (FAQ)

How effective is UFE at relieving fibroid symptoms?

UFE is highly effective for symptom relief, with around 85-90% of patients experiencing significant improvement in symptoms like pain, bleeding, and urinary issues within a few months after the procedure.

Is UFE safe for all women with fibroids?

UFE is generally safe for most women; however, it may not be ideal for those planning future pregnancies. A specialist consultation can help determine if UFE is the best treatment option based on your specific condition and goals.

How soon will I see results after UFE?

Most patients begin to notice symptom improvement within a few weeks, with maximum fibroid shrinkage and relief typically occurring within 3-6 months post-procedure.

What are the risks associated with UFE?

As with any medical procedure, UFE has some risks, though they are generally rare. These include infection, allergic reaction to the embolic agents, and, in rare cases, unintended impact on ovarian function. Discussing potential risks with your doctor can help you make an informed decision.

Will my fibroids come back after UFE?

While UFE successfully reduces or eliminates existing fibroids, new fibroids can develop over time, especially if a woman is still of childbearing age. However, many patients experience lasting relief from symptoms after UFE.