Endovascular intervention for uterine fibroids can preserve the uterus 99%, helping women to become pregnant.
I have heard that endovascular intervention for uterine fibroids is a minimally invasive method of uterine muscle. Is this method painful and does it preserve the uterus? (Ha An)
First, the aim of endovascular interventional therapy in uterine fibroids is to preserve the uterus. Studies in the world and in Vietnam show that this method has a 99% uterus retention rate, which means only 1% of patients can have a hysterectomy. When the uterus is kept, a woman will have a chance to get pregnant. And when it’s already cut, there’s no more opportunity, even if it’s partially cut.
Second, endovascular treatment currently has very modern tools. A small catheter less than one mm is threaded from the outside into the correct blood vessel feeding the tumor, pumping emboli to make the tumor shrink. This helps to avoid as much damage to the uterine muscles as possible.
With this method, we recorded many patients who can get pregnant after having uterine fibroids. If not selected, embolization can cause pain for the patient for about 24 hours. Due to the ischemia of the tumor and the lack of blood around the uterine muscle, the patient will experience slight contractions. Currently, we have many methods of pain relief such as: medication, regional anesthesia, nerve block. Thanks to that, it is possible to control the pain, after 24 hours the patient will be back to almost normal.
Associate Professor, Doctor, Doctor Nguyen Xuan Hien
Director of Center for Diagnostic Imaging and Interventional Radiology, Hanoi Tam Anh General Hospital