It is a minimally invasive treatment for uterine fibroids, noncancerous growths in the uterus. It uses a common femoral artery puncture. Super selective embolisation of Uterine arteries is done to block the fibroid blood vessels, starving the fibroids and causing them to shrink and die.
Why (Indications)?
Large fibroids with bulky uterus causing increased frequency of urine, pain , increased and heavy menstruation.
Adenomyosis
Uterine AVM
RPOC (retained products of conception)
Why Not (Contraindications)?
Avoid uterine artery embolization if you:
Are pregnant
Have possible pelvic cancer
Have an active, recent or chronic pelvic infection
Are allergic to contrast material containing iodine
What you are to do before procedure (Preparation)?
Book prior appointment if elective or get admission in causality if emergency
Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers) and previous records. An MRI or ultrasound of the prostate gland.
Urine test (urinalysis)
4–6 Hours fasting.
If you are on blood thinner like Aspirin inform during appointment.
One accompanying person
Need to sign a consent form for procedure
Approx. Stay in hospital?
We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 day.
Complications
Mild Pain (usually ends within a day or two). In some patients pain may last for few weeks.
Vaginal discharge.
Post-embolization syndrome — characterized by low-grade fever, pain, fatigue, nausea and vomiting — about 48 hours after the procedure and usually resolve on its own within a week.
Resume to work?
You can resume your work after 2–3 days if existing disease allows.
Results?
Symptoms such as heavy bleeding, urinary incontinence and abdominal enlargement are relieved in the first three months after treatment. These results appear to be comparable to that of myomectomy, in which the fibroids are surgically removed and the uterus repaired.
Your menstrual period may continue on its normal schedule. If you miss any periods, they will probably resume within a few months.
There is low risk of subtle ovarian damage which may make getting pregnant more difficult. Despite these risks, many women have had successful pregnancies after uterine artery embolization.
Ablation
What is it?
Radiofrequency ablation (RFA) and microwave ablation (MWA) are treatments that use image guidance to place a needle through the skin into fibroid
In RFA, high-frequency electrical currents are passed through an electrode in the needle, creating a small region of heat.
In MWA, microwaves are created from the needle to create a small region of heat. The heat destroys the liver cancer cells.
RFA and MWA are effective treatment options for patients who might have difficulty with surgery
The success rate is greater than 85 percent.
Other Treatments
To schedule an appointment for BPH Treatment In Delhi with Dr. Ajit Yadav, please contact:
Name: Dr. Ajit Yadav (Interventional Radiologist)
Address: Sir Ganga Ram Hospital, Old Rajendra Nagar, Delhi — 110060 India
Phone: 011 42251897, +91–9958474870
Website: www.interventionalradiologyindia.com
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