Myoma without incisions
UAE is indicated for symptomatic fibroids in women who want to preserve the uterus or avoid anesthesia and surgery: multiple nodes are treated in one procedure, regardless of the number. Through radial or femoral access, both uterine arteries are sequentially catheterized, calibrated particles are introduced until stasis; ovarian blood flow is not affected. The first day is controlled pain syndrome (epidural analgesia/pump), then rapid recovery. The effect on bleeding is 90–95%; When a submucosal node is “born,” it is removed hysteroscopically. A list of consumables is issued in advance.
Indications
- uterine fibroids with bleeding in women who want to avoid surgery or preserve the uterus (UA);
- fibroids before myomectomy to reduce blood loss;
- hypersplenism in cirrhosis (thrombocytopenia) - partial embolization of the splenic artery;
- preparation for operations on the spleen, some bleeding.
How embolization works
Targeted closure of the arteries deprives the pathological focus of blood supply: myomatous nodes after UAE are reduced by 40–60% in six months, bleeding stops from the first cycle, the uterus and fertility are preserved; with partial embolization of the spleen, the sequestration of blood cells decreases - platelets grow without removing the organ. The procedure is performed through a 2–3 mm puncture without anesthesia; post-embolization syndrome is typical (pain, fever for 1–3 days), relieved with drugs.
