Uterine fibroids subperitoneal development scheme (a) and submucosa (b) and intramuscular (c) of uterine fibroids. in its natural form some of the "grow" and to such an extent! Uterine artery embolization is the essence of the UAE cessation of blood flow in the branches of the uterine arteries supplying the fibroids ( perifibroidnomu plexus). The particles of polyvinyl alcohol (PVA) block blood flow in arteries supplying the fibroids. Myoma cells die (aseptic necrosis of the cheesy), the outcome of necrosis is hyaline sclerosis.
Fibroid Miracle Q & A
Q.What are uterine fibroids?
A. Uterine fibroids are benign in the muscular wall of the uterus. It is also called fibroydom, leiomyomas, or fibroids. Depending on the size and location, education can be manifested by pain or bleeding. Usually, the symptoms are worse after menopause when the level of the female hormone estrogen circulating in the blood is greatly reduced. However, these symptoms may persist even among those women in the menopausal period who receive hormone replacement therapy with estrogen. size of fibroids can vary from very small to large sized potatoes. In some cases, the uterus can grow to the size of the 5th month of pregnancy or more. Fibroids can be localized in different parts of the uterus.
The three most frequent localization of myomas: subserous fibroids develop from the outer part of the uterus and grow outward into the cavity of the pelvis. Usually, it does not affect the course of monthly, but can cause discomfort associated with its size and pressure of the surrounding tissue, which it has. intramural myomas, which develops from the middle muscular layer of the uterus leads to an increase in excess of normal size. This is the most common form of uterine fibroids. It can lead to disruption of the menstrual cycle, the appearance of pain or feeling of pressure in the pelvis. submucous (submucous) fibroids occurring deep within the uterus, just under a thin layer of mucous lining of the cavity. This is the least common form of uterine fibroids, but it often leads to a pronounced and prolonged symptoms. Q. What are the typical signs and symptoms of fibroids? O. Depending on the location, size and number of fibroydov they can lead to: * A heavy, the extended menstrual periods and unusual monthly bleeding, sometimes with clots. This often leads to anemia. * pain in the pelvis * The emergence of a sense of pressure and heaviness in the pelvis * pain in the back or leg pain * during sex * Compression of the bladder, leading to persistent frequent urination * Compression of the intestine and as a consequence , constipation and obesity * abnormal enlargement of the abdomen
Q. Who most often occurs fibroids? O. uterine fibroids are very common, although often they are very small and do not cause problems. From 20 to 40 percent of women older than 35 years of age have fibroids of significant size. The southern nations, especially the inhabitants of the Caucasus, the risk of fibroids is much higher. B. As fibroids diagnosed?
A. Fibroids are usually diagnosed at an internal gynecological examination. Your doctor conducts a study of the pelvis that would determine whether the uterus is not increased. The presence of fibroids is most often confirmed with abdominal ultrasound. Fibroids can also be detected by computed tomography (CT) or magnetic resonance imaging (MRI). All of these methods painless. Treatment depends on the size and location of fibroids, as well as the severity of symptoms.
Q. What is the treatment of uterine fibroids?
A. Most fibroids do not appear and did not need treatment. When symptoms appear, most often the first step is medication. It may include the appointment of birth control pills containing estrogen use nesteroydnyh anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, or hormonal therapy. Many patients can control symptoms with this treatment and additional therapy is required. Some hormonal treatments have side effects, while others are not harmless under prolonged use, so they are appointed for a time. Most fibroids resume its growth at the end of drug therapy. next step is using more invasive methods of treatment. The most common are the following treatments: Embolization of uterine arteries (fibroyda) This new, no surgical treatment. In this case a trained specialist makes an incision in the groin thin and holds thin tube (catheter) through the femoral artery. When the catheter reaches the uterine artery, the doctor inserts into the lumen of small particles of plastic or gelatin in order to stop the blood flow to the tumor, which leads to its degeneration and wrinkled.
Myomectomy Myomectomy is a surgical procedure that removes only the fibroids and not the entire uterus that keeps the woman to have children. There are several ways to perform myomectomy, including hysteroscopic myomectomy, laparoscopic myomectomy and abdominal (normal) myomectomy: Hysteroscopic Myomectomy : Hysteroscopic myomectomy is used only for fibroids located just under the mucous layer of the uterus and protruding into its lumen. It does not resort to the section. The doctor inserts a flexible instrument (hysteroscope) through the vagina and cervix into the uterus and removes fibroyd using special surgical instruments through a flexible hysteroscope. This procedure is usually performed under general anesthesia. Laparoscopic Myomectomy : Laparoscopic myomectomy may be used when the fibroid is located outside the uterus. At the same time makes a small incision in the abdomen so that the doctor would be able to enter the abdominal cavity with a probe attached to a miniature video camera it is another tube through which the abdominal cavity are special surgical instruments to remove the tumor. This operation is also performed under general anesthesia. Abdominal Myomectomy : This surgery is one in which the incision is made on the abdomen in order to open access to the uterus, another incision is made in the uterus itself, in order to remove the tumor. After removal of the fibroids, the uterus and the anterior abdominal wall sutured. This operation is performed under general anesthesia and requires a mandatory finding the patient in the hospital for several days following the operation. Hysterectomy Approximately one-third of all hysterectomies performed related to the fibroids. At hysterectomy the uterus is completely removed either through the vagina, either by laparoscopic or open surgery. The operation is performed under general anesthesia and requires several weeks of recovery time. hysterectomy most frequently used treatment for uterine fibroids. It is usually performed in women who came out of the fertile period, or do not plan to have more children.
Q. What is embolization fibroyda?
A. In medical language, this procedure is called uterine artery embolization (UAE) and women is a new alternative treatment of fibroids. EMA - minimally invasive procedure, which means that it requires only a point of skin incision. In its execution the patient is conscious, but sedatiruetsya - feels sleepy and did not feel any pain. fibroid embolization is performed by trained specialist radiologist (interventional radiologist) owns the minimally invasive treatment methods. The doctor makes a small, a few millimeters, the skin incision in the groin and the catheter is introduced into the artery. The catheter is carried out through the arteries to the uterus, while the doctor monitors his movements with the help of fluoroscopy. After that, the doctor inserts into the artery supplying the fibroids, the smallest size of a grain of sand, pieces of plastic or gelatin sponge. This stops the blood flow to tumors and leads to wrinkling her.
Usually, this procedure is repeated on the other side of the artery. After embolization of fibroid patient usually stays in the hospital until the next day, and after 1-2 days can be discharged home. After the procedure, pain relievers and decongestants are appointed agents in connection with pain and spasms that can occur after surgery. Sometimes there is an increase in body temperature, which decreases with antipyretic drugs. recovery period usually takes 1-2 weeks, but you may need and more time. Although uterine artery embolization to treat uterine fibroids is used all over the world only in the last six years, on its a uterine artery embolization is not new. For over 20 years it was used for the treatment of massive postpartum haemorrhage. V. How effective is uterine artery embolization? O. Studies conducted in the United States and Europe have shown that 78-94% of women who underwent this procedure, there was a significant or complete disappearance of pain and other symptoms associated with fibroids. The procedure is effective even with multiple fibroids. The women followed for 6 years after the procedure, is not marked the resumption of symptoms.
Q. Is the removal of fibroids with some risk?
A. fibroyda embolization is considered a very safe procedure. However, there is a certain degree of risk, as with any medical procedure. Most women experience moderate or severe pain and cramping for a few hours after the procedure. Some may experience nausea and fever. All these symptoms can be controlled by the appointment of appropriate medication. A small number of patients known cases of infection, which is usually controlled by antibiotics. It is also reported that 1% of cases there is a risk of injury to the uterus, which could potentially require a hysterectomy. A small number of patients known cases of menopause after embolization. However, the vast majority of patients at the time of performance of uterine artery embolization menopause or has already occurred or is expected within the next few years. Myomectomy and hysterectomy also carry a serious risk, including infection and bleeding, requiring blood transfusions. Patients may experience after a myomectomy adhesions in the abdominal cavity, leading to "agglomeration" of tissues and organs and as a consequence, infertility. Possible side effects and complications associated with each particular method of treatment that you can choose, you should discuss with your health physician.
Q. Will I get pregnant after UAE?
A. There is currently no sufficient data on the impact of embolization on fertility. In addition, the majority of women who passed through this procedure did not plan to have children in the future. However, some women were able to become pregnant and give birth to a child after embolization of uterine fibroids.
Q. What is the cost of EMA?
A. In most clinics, the procedure is performed embolization on a commercial basis. The exact cost of treatment depends on the amount of used instruments and medicines, as well as the conditions of stay provided by the clinic. The cost of UAE, including the tools, supplies and medication does not exceed the cost of surgical treatment are also provided on a commercial basis. At the same time avoids the UAE, not only without an incision and general anesthesia, but also significantly reduces the time spent in hospital and subsequent recovery period. It is possible that in the near future will be the UAE procedure,
Fibroid Miracle Q & A
Q.What are uterine fibroids?
A. Uterine fibroids are benign in the muscular wall of the uterus. It is also called fibroydom, leiomyomas, or fibroids. Depending on the size and location, education can be manifested by pain or bleeding. Usually, the symptoms are worse after menopause when the level of the female hormone estrogen circulating in the blood is greatly reduced. However, these symptoms may persist even among those women in the menopausal period who receive hormone replacement therapy with estrogen. size of fibroids can vary from very small to large sized potatoes. In some cases, the uterus can grow to the size of the 5th month of pregnancy or more. Fibroids can be localized in different parts of the uterus.
Q. Who most often occurs fibroids? O. uterine fibroids are very common, although often they are very small and do not cause problems. From 20 to 40 percent of women older than 35 years of age have fibroids of significant size. The southern nations, especially the inhabitants of the Caucasus, the risk of fibroids is much higher. B. As fibroids diagnosed?
A. Fibroids are usually diagnosed at an internal gynecological examination. Your doctor conducts a study of the pelvis that would determine whether the uterus is not increased. The presence of fibroids is most often confirmed with abdominal ultrasound. Fibroids can also be detected by computed tomography (CT) or magnetic resonance imaging (MRI). All of these methods painless. Treatment depends on the size and location of fibroids, as well as the severity of symptoms.
Q. What is the treatment of uterine fibroids?
A. Most fibroids do not appear and did not need treatment. When symptoms appear, most often the first step is medication. It may include the appointment of birth control pills containing estrogen use nesteroydnyh anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, or hormonal therapy. Many patients can control symptoms with this treatment and additional therapy is required. Some hormonal treatments have side effects, while others are not harmless under prolonged use, so they are appointed for a time. Most fibroids resume its growth at the end of drug therapy. next step is using more invasive methods of treatment. The most common are the following treatments: Embolization of uterine arteries (fibroyda) This new, no surgical treatment. In this case a trained specialist makes an incision in the groin thin and holds thin tube (catheter) through the femoral artery. When the catheter reaches the uterine artery, the doctor inserts into the lumen of small particles of plastic or gelatin in order to stop the blood flow to the tumor, which leads to its degeneration and wrinkled.
Myomectomy Myomectomy is a surgical procedure that removes only the fibroids and not the entire uterus that keeps the woman to have children. There are several ways to perform myomectomy, including hysteroscopic myomectomy, laparoscopic myomectomy and abdominal (normal) myomectomy: Hysteroscopic Myomectomy : Hysteroscopic myomectomy is used only for fibroids located just under the mucous layer of the uterus and protruding into its lumen. It does not resort to the section. The doctor inserts a flexible instrument (hysteroscope) through the vagina and cervix into the uterus and removes fibroyd using special surgical instruments through a flexible hysteroscope. This procedure is usually performed under general anesthesia. Laparoscopic Myomectomy : Laparoscopic myomectomy may be used when the fibroid is located outside the uterus. At the same time makes a small incision in the abdomen so that the doctor would be able to enter the abdominal cavity with a probe attached to a miniature video camera it is another tube through which the abdominal cavity are special surgical instruments to remove the tumor. This operation is also performed under general anesthesia. Abdominal Myomectomy : This surgery is one in which the incision is made on the abdomen in order to open access to the uterus, another incision is made in the uterus itself, in order to remove the tumor. After removal of the fibroids, the uterus and the anterior abdominal wall sutured. This operation is performed under general anesthesia and requires a mandatory finding the patient in the hospital for several days following the operation. Hysterectomy Approximately one-third of all hysterectomies performed related to the fibroids. At hysterectomy the uterus is completely removed either through the vagina, either by laparoscopic or open surgery. The operation is performed under general anesthesia and requires several weeks of recovery time. hysterectomy most frequently used treatment for uterine fibroids. It is usually performed in women who came out of the fertile period, or do not plan to have more children.
Q. What is embolization fibroyda?
A. In medical language, this procedure is called uterine artery embolization (UAE) and women is a new alternative treatment of fibroids. EMA - minimally invasive procedure, which means that it requires only a point of skin incision. In its execution the patient is conscious, but sedatiruetsya - feels sleepy and did not feel any pain. fibroid embolization is performed by trained specialist radiologist (interventional radiologist) owns the minimally invasive treatment methods. The doctor makes a small, a few millimeters, the skin incision in the groin and the catheter is introduced into the artery. The catheter is carried out through the arteries to the uterus, while the doctor monitors his movements with the help of fluoroscopy. After that, the doctor inserts into the artery supplying the fibroids, the smallest size of a grain of sand, pieces of plastic or gelatin sponge. This stops the blood flow to tumors and leads to wrinkling her.
Usually, this procedure is repeated on the other side of the artery. After embolization of fibroid patient usually stays in the hospital until the next day, and after 1-2 days can be discharged home. After the procedure, pain relievers and decongestants are appointed agents in connection with pain and spasms that can occur after surgery. Sometimes there is an increase in body temperature, which decreases with antipyretic drugs. recovery period usually takes 1-2 weeks, but you may need and more time. Although uterine artery embolization to treat uterine fibroids is used all over the world only in the last six years, on its a uterine artery embolization is not new. For over 20 years it was used for the treatment of massive postpartum haemorrhage. V. How effective is uterine artery embolization? O. Studies conducted in the United States and Europe have shown that 78-94% of women who underwent this procedure, there was a significant or complete disappearance of pain and other symptoms associated with fibroids. The procedure is effective even with multiple fibroids. The women followed for 6 years after the procedure, is not marked the resumption of symptoms.
Q. Is the removal of fibroids with some risk?
A. fibroyda embolization is considered a very safe procedure. However, there is a certain degree of risk, as with any medical procedure. Most women experience moderate or severe pain and cramping for a few hours after the procedure. Some may experience nausea and fever. All these symptoms can be controlled by the appointment of appropriate medication. A small number of patients known cases of infection, which is usually controlled by antibiotics. It is also reported that 1% of cases there is a risk of injury to the uterus, which could potentially require a hysterectomy. A small number of patients known cases of menopause after embolization. However, the vast majority of patients at the time of performance of uterine artery embolization menopause or has already occurred or is expected within the next few years. Myomectomy and hysterectomy also carry a serious risk, including infection and bleeding, requiring blood transfusions. Patients may experience after a myomectomy adhesions in the abdominal cavity, leading to "agglomeration" of tissues and organs and as a consequence, infertility. Possible side effects and complications associated with each particular method of treatment that you can choose, you should discuss with your health physician.
Q. Will I get pregnant after UAE?
A. There is currently no sufficient data on the impact of embolization on fertility. In addition, the majority of women who passed through this procedure did not plan to have children in the future. However, some women were able to become pregnant and give birth to a child after embolization of uterine fibroids.
Q. What is the cost of EMA?
A. In most clinics, the procedure is performed embolization on a commercial basis. The exact cost of treatment depends on the amount of used instruments and medicines, as well as the conditions of stay provided by the clinic. The cost of UAE, including the tools, supplies and medication does not exceed the cost of surgical treatment are also provided on a commercial basis. At the same time avoids the UAE, not only without an incision and general anesthesia, but also significantly reduces the time spent in hospital and subsequent recovery period. It is possible that in the near future will be the UAE procedure,
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