Uterine Artery Embolization

The consultation fee of a gynecologist for Uterine Artery Embolization ranges between 1000-3000 PKR. The fee may vary depending on the doctor chosen. 

If the gynecologist finds these conditions, he may refer you to uterine artery embolization treatment:

• Severe bleeding due to uterine fibroids

• Lower abdominal pain caused by fibroids

• An enlarged uterus 

• Fertility issues

• Bladder pressure, making you urinate more

• Pressure on the bowel causing constipation or bloating

• Painful sexual intercourse

What is the procedure for Uterine Artery Embolization?

Uterine Artery Embolization (UAE) is a minimally invasive procedure carried out by using radiological interventions. Once the gynecologist refers a patient for this medical procedure, he may use the following steps to perform the surgical treatment:

• Before the process, the patient is usually given a sedative to help relax. An intravenous (IV) line can be inserted to deliver medications and fluids all through the procedure.

• The region around the patient's groin is cleaned and numbed using anesthesia to reduce discomfort during the surgical procedure.

• A small incision is made in the groin to access the femoral artery in the leg. Through this incision, a catheter tube is inserted into the femoral artery with the help of X-rays.

• Dye is injected through the catheter, and X-ray imaging is used to visualize the uterine arteries and any related blood vessels connecting with the fibroids.

• Small microspheres are injected via the catheter into the uterine arteries. These particles block the blood supply to the fibroids, consequently shrinking them. 

• After completing the embolization, the surgeon removes the catheter. He also applied pressure to the incision to stop excessive bleeding. A bandage is applied to promote healing.  

What are the risks & complications associated with Uterine Artery Embolization?

The risks and complications associated with Uterine Artery Embolization include:

• Patients are likely to develop infections at the surgical site or even within the uterus.

• Allergic reactions to the dye used during the surgical procedure are relatively common. 

• During catheterization, the chances of injury to nearby organs such as - the bowel or bladder increase.

• In rare cases, embolization blocks the normal blood flow to uterine tissues, resulting in the death of healthy tissues.

• Risks of early menopause, resulting in infertility increases.

What to expect after Uterine Artery Embolization?

After undergoing Uterine Artery Embolization, the patient can expect:

• Severe pain and discomfort are common in the pelvic region during post-surgical days.

• The healthcare provider also schedules follow-up checkups for monitoring the patient’s health and healing.

• The patient is restricted from doing strenuous exercises or lifting heavy objects. The gynecologist also recommends slow walking.