Uterine Fibroid Embolization (UFE)

What is uterine fibroid embolization?

Uterine fibroid embolization (UFE) is a relatively new approach to the treatment of uterine fibroids. First performed in the early 1990s, UFE is a less invasive technique intended to block the flow of blood to fibroids, depriving them of the oxygen and nutrients they require to grow.

UFE is a procedure that is now available in many hospitals and medical centers. It is usually performed by an interventional radiologist—a specially trained physician who uses x-ray imaging to guide the procedure.

In a typical UFE procedure, a small flexible tube called a catheter is inserted through the skin and into a blood vessel called the femoral artery.

The physician then steers the catheter up to your uterine artery —a blood vessel that branches from your femoral artery and supplies the fibroids.

Then, small PVA particles are injected through the catheter. These particles are intended to flow into the branches of your uterine artery, blocking the vessel and preventing blood from reaching the fibroids.

Generally, the catheter is removed and the procedure is repeated on the other side, in order to ensure that there is complete blockage of the blood flow. Deprived of oxygen and nutrients, your fibroids should shrink, potentially relieving your symptoms.

What happens after the procedure?

Before you leave the hospital, you should ask your doctor about your medications and the care of your dressings. You should also ask about any restrictions in activity. In most cases, women who have had this procedure are able to return to light activity within a few days.

After you are discharged from the hospital, it will be important to contact your doctor if you develop a fever or if you experience pelvic pain that increases over time and lasts more than 24 hours. You should also immediately call if you notice a foul-smelling discharge.