Home >>Medical procedures >> Laparoscopic / Minimally Invasive Surgery >>Laparoscopic Myomectomy for Fibroids

Fibroids Treatment- No Surgery, Quick Recovery and Affordable Treatment Package
Without any needs surgical treatments like Hysterectomy and Myomectomy. Uterine Artery Embolization Non-Surgical Treatments for Fibroids , Adenomyosis & Endometriosis

10 Great Advantages of Uterine Artery Embolization for Fibroids

1. It is performed under Local anaesthesia. Not General anaesthesia.

2. Requires only a tiny nick in the skin (No surgical incision of abdomen).

3. Recovery is shorter than from hysterectomy or open myomectomy.

4. Within 3 days patient can attend the job.

5. Virtually no adhesion formation has been found. But in surgery adhesions are common.

6. All fibroids are treated at once, which is not the case with myomectomy.

7. There has been no observed recurrent growth of treated fibroids in the past 9 years.

8. Uterine fibroid embolization involves virtually no blood loss or risk of blood transfusion.

9. Many women resume light activities in a few days and the majority of women are able to return to normal activities (including exercise) within a week. If the presenting complaint was excess vaginal bleeding, 87-90% of cases experience resolution within 24hours.

10. Emotionally, financially and physically benign procedure -embolization can have an overall advantage over other procedures ** PLEASE DESCRIBE THIS IMAGE **as the uterus is not removed.

FAQ's

Q. What are the conditions that can be treated ?

** PLEASE DESCRIBE THIS IMAGE **A. Uterine Artery Embolization has many Indications
1. Single / multiple Uterine Fibroids.
2. Adenomyosis.
3. Failed myomectomy / recurrence of fibroids after myomectomy
4. High risk patient for surgery like obesity, anemia, chronic renal failure etc.
5. Post-partum Hemorrhage
6. Bleeding from Cancer of Cervix & Uterus
7. Pre-operative embolization to reduce bleeding during uterine surgery

Q. What are typical symptoms?
A. Depending on location, size and number of fibroids, they may cause:
 1. Heavy, prolonged menstrual periods and unusual bleeding, sometime with clots. This might lead to anemia.
2. Lower abdomen, back or leg pain
3 .Lower abdomen pressure or heaviness
4. Bladder pressure leading to a constant urge to urinate
5. Pressure on bowel, leading to constipation and bloating

Q. Who is most likely to have uterine fibroids?
A. Uterine fibroids are very common, although, often they are very small and cause no problem. From 20 to 40 % of women aged 35 and older have uterine fibroids of a significant size. Pressure on bowel, leading to constipation and bloating.

Q. How are uterine fibroids diagnosed?
A. Fibroids are usually diagnosed during a gynecologic examination. The presence of fibroids is most often confirmed by a lower abdomen ultrasound. Fibroids can also be confirmed using MRI (magnetic resonance imaging) and computed tomography (CT scan). Appropriate treatment depends on the size and location of the fibroids, as well as the severity of symptoms.

** PLEASE DESCRIBE THIS IMAGE **Q. What is fibroid embolization?
A. It is a minimally invasive procedure, which means it requires only a tiny nick in the skin. It is performed while the patient is conscious but sedated - drowsy and feeling no pain. Fibroid embolization is performed by an interventional radiologist, a physician who is specially trained to perform this and other minimally invasive procedures. The interventional radiologist makes a small nick in the skin (less then ¼ of an inch) in the groin and inserts a catheter into an artery. The catheter is guided through the artery to the uterus while the interventional radiologist guide the progress of the procedure using a moving X-ray (fluoroscopy). The interventional radiologist injects tiny plastic particles the size of grains of sand into the artery that is supplying blood to the fibroid tumor.

This cuts off the blood flow and causes the tumor (or tumors) to shrink. The artery on the other side of the uterus is then treated. Embolization preparation: A tiny angiographic catheter is inserted through a nick in the skin in to an artery and advanced into uterus.While embolization to treat uterine fibroids has been performed since 1995, embolization of the uterus is not new. It has been used successfully by interventional radiologist for over 20 years to treat heavy bleeding after childbirth. This procedure is now available at few hospitals.

Q. Which patient can go for fibroid embolization?
** PLEASE DESCRIBE THIS IMAGE **A. Ideal Patient for uterine artery embolization.

1. They have single / multiple fibroids

2. The fibroids are symptomatic

3. There is no cancer (as suggested by pap smear or endometrial biopsy)


 Q. How successful is the fibroid embolization procedure?
A. Studies show that 78 to 94% of women who have the procedure experience significant or total relief of heavy bleeding, pain and other symptoms. The procedure also is effective for multiple fibroids. No re-growth of treated fibroids is observed.

Q. Are there risks associated with the treatment of fibroid tumors?
A. There are some associated risks, as there are with almost any medical procedure. Most women experience moderate pain and cramping in the first several hours following the fibroid embolization procedure. Some experience nausea and fever. These symptoms can be controlled with antibiotics and pain medication. Less than 1% of the patient need myomectomy or hysterectomy to complete the removal of a persisting fibroid. Myomectomy and hysterectomy also carry risks, including infection, bleeding leads to blood transfusion. Patients who undergo myomectomy may develop adhesions causing tissue and organs in abdomen to fuse together, which can lead to other problems. In addition, the recovery time is ** PLEASE DESCRIBE THIS IMAGE **much longer for abdominal myomectomy, generally one to two month.
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Varicocele in Male and Blocked fallopian tube in Female

Infertility affects a large number of couples across the world. In females, blockade of fallopian tubes through which eggs pass from the ovary to the uterus and in males, varicocele of scrotum are the most common causes of infertility and is seen in 30-40% of these couples.

The common causes of blocked fallopian tubes are infections, TB, repeated abortion, long-term usage of contraceptive devices. The varicocele in males is caused by non-function of valves in testicular vein which leads to aching pain, testicular atrophy (shrinkage) and fertility problem due to decreased sperm count; decreased motility of sperm, and an increase in the number of deformed sperms.

Benefits of Non-surgical treatment

1. Less pain,
2. No surgical scar,
3. Performed on outpatient (OPD) / day care,
4. Patients are able to return to normal daily activities immediately.
5. A patient with both side varicoceles / blocked tubes can have them fixed simultaneously in onesitting,
6. No general anesthesia / sutures / infections & it is cost-effective.

Opening of blocked Fallopian Tubes

 Initially Hysterosalpingography (HSG) is performed to detect abnormalities and site of blockade in the uterus and the fallopian tubes.The opening of blocked fallopian tube procedure examination is done 8 to 11 days after the first day of the patient's last menstrual period. In the same sitting the interventional radiologist performs this treatment also. He inserts a thin tube inside the uterus and very thin platinum wire passed through the fallopian tube on both sides under vision of high-end digital monitor. Patient can watch the entire procedure on computer monitor. The procedure usually takes 30 to 45 minutes and patient can go home after one hr. The success rate more then the other surgical procedures.



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