By Dr. Ashley Wood
Uterine fibroids are a common gynecological condition affecting a significant number of women worldwide. Traditionally, surgical interventions such as hysterectomy and myomectomy have been the primary treatment options. However, the emergence of uterine fibroid embolization (UFE) has revolutionized the management of this condition. UFE is a minimally invasive procedure that offers a safe and effective alternative to surgery, providing symptomatic relief and preserving fertility. This article aims to provide an overview of UFE, including its technique, efficacy, safety profile, and potential advantages over traditional surgical interventions.
About: Uterine fibroids, also known as leiomyomas, are benign tumors originating from the smooth muscle cells of the uterus. They can cause a range of symptoms, including heavy menstrual bleeding, pelvic pain, pressure/bulk symptoms, and reproductive dysfunction. UFE, also referred to as uterine artery embolization (UAE), involves the selective occlusion of the uterine arteries, leading to ischemic necrosis and subsequent shrinkage of fibroids.
Technique: UFE is typically performed by an interventional radiologist under moderate sedation. Using fluoroscopic guidance, a catheter is inserted into the radial or femoral artery and advanced to the uterine arteries. Embolic agents, such as polyvinyl alcohol particles or microspheres, are then injected to block the blood supply to the fibroids, inducing their regression.
Efficacy: Numerous studies have demonstrated the efficacy of UFE in reducing fibroid-related symptoms. Clinical trials have reported significant improvements in menstrual bleeding, pelvic pain, bulk symptoms and quality of life following the procedure. Moreover, UFE has shown comparable outcomes to surgical interventions, with high rates of patient satisfaction and long-term symptom relief.
Safety Profile: UFE is generally considered a safe procedure, with a low risk of major complications. The most common adverse events include post-embolization syndrome, which consists of transient pain, fever, and fatigue. Serious complications, such as infection or uterine necrosis, are rare but can occur. Proper patient selection, meticulous technique, and close post-procedural monitoring are crucial to ensuring optimal safety outcomes.
Advantages over Surgical Interventions: Compared to traditional surgical interventions, UFE offers several advantages. It is a minimally invasive procedure that avoids the need for general anesthesia and large abdominal incisions. UFE also preserves the uterus, making it an attractive option for women desiring future fertility. Additionally, the shorter recovery time and reduced hospital stay associated with UFE contribute to improved patient satisfaction and cost-effectiveness.
Conclusion: Uterine fibroid embolization has emerged as a safe and effective alternative to surgical interventions for the management of symptomatic fibroids. With its minimally invasive nature, high efficacy, and potential advantages over traditional approaches, UFE has revolutionized the field of fibroid treatment.
About Ashley Wood, M.D.
Medical Education: West Virginia University School of Medicine
Internship: University of Pittsburgh – General Surgery
Residency: Albany Medical Center – Diagnostic Radiology
Fellowship: Miami Cardiac and Vascular Institute – Vascular & Interventional Radiology
Board Certifications: Diagnostic Radiology; Interventional Radiology
Ashley Wood, M.D. is board-certified in both diagnostic and interventional radiology. She completed her fellowship at the world renowned Miami Cardiac & Vascular Institute under the guidance of interventional radiology pioneers Drs. Barry Katzen and James Benenati.
Dr. Wood relocated to Naples with her husband, Michael, and their three children. She is excited to join the most qualified Interventional Radiology team in Southwest Florida along with her partners Bruce Bordlee, M.D., Paul Hulsberg, M.D., and Scott Peterson, M.D.
This team of talented physicians, with over 40 years of experience, along with advanced imaging equipment provide world class, compassionate and comprehensive patient care.
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