Fibroids Treatment

7/31/2019 Fibroids Treatment

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Drugs


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Endometrial ablation


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Myolysis


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Myomectomy

1. Hysteroscopic myomectomy 2. Open myomectomy

3. Laparoscopic or Robotic myomectomy


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Hysterectomy


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UAE is performed in a radiology suite rather than an operating room, by an interventional radiologist. An

intravenous (IV) line will be placed before beginning the procedure, and patient will be sedated. Patients

will remain awake, but sleepy, throughout the procedure.

A needle is placed in an artery in patients leg, at the groin crease. A small catheter is then placed into theartery and X-rays are taken of the arteries a test called an arteriogram that supply the fibroids. The

catheter is then used to select these arteries and slowly inject particles called polyvinyl alcohol, which are

the size of a sand grain. The particles block the flow of blood. After the left and right uterine arteries are

embolized, another arteriogram is performed to confirm the procedure is complete.

Afterward, patient must rest in bed for six hours, lying flat with your leg straight. The amount of pain

patients experience varies. The most significant pain usually occurs immediately following the procedure

and over the next six hours. Patients usually stay overnight in the hospital, so the doctors can monitor the

arterial access site and provide adequate pain control. Patient will be discharged the next morning. Most

women can return to full activity in a week.

When blood flow to the fibroid is blocked, the fibroid gets no oxygen and will begin to die. This process

happens over days to months. During this time the fibroid shrinks by about 40 to 50 percent and the

uterus by about 30 to 40 percent.

Uterine Artery Embolization (UAE)

Embolization is a technique that blocks the blood flow to the fibroid or fibroids,

causing them to shrink and die. This also often decreases menstrual bleedingand symptoms of pain, pressure, urinary frequency or constipation.


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Uterine Artery Embolization (UAE)


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Imagine using a magnifying glass to focus the sun's energy on a single point to create a flame to burn a leaf. The

focused ultrasound energy is directed at a small volume of the fibroid, raising its temperature high enough to cause

thermal ablation (killing of the cells) without impacting other tissues. Pulses of energy are repeated until the entire

volume is treated.

During the procedure patient lie on stomach on a patient table that fits into a standard MRI scanner.

First, the doctor identifies the fibroid(s) on MR images taken of the pelvic region. Then, after detailed planning, high

energy focused ultrasound waves heat a small spot in the uterine fibroid to a temperature of up to 85oC. During the pulse

or sonication, which lasts about 15 seconds, the doctor monitors the progress and reviews temperature-sensitive images.

Since each sonication treats a very small volume, this process will be repeated until the required volume is treated,

typically about 50 times. The procedure lasts about 3 hours depending upon the size and number of fibroids treated.

Following the treatment the body gradually removes the treated tissue over a period of months, providing symptom relief.

MR guided Focused Ultrasound Surgery

MR guided Focused Ultrasound Surgery is a non-invasive, outpatient procedure which

uses high doses of focused ultrasound waves (HIFU) to destroy uterine fibroids, without

affecting any of the other tissues around the fibroid. The procedure is conducted in amagnetic resonance imaging (MRI) scanner which helps the physician "see" inside the

body to pinpoint, guide, and continuously monitor the treatment.


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MR guided Focused Ultrasound Surgery


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REFERENCES

http://www.babycenter.com.my/preconception/suspectingaproblem/fibroids/http://www.ucsfhealth.org/conditions/fibroids/treatment.htmlhttp://www.uterine-fibroids.org/mr_guided.htmlhttp://www.direct-healthcare.com/hysterectomy.htm

http://www.umm.edu/patiented/articles/what_radical_surgery_hysterectomy_endometriosis_000074_11.htm

http://www.yalemedicalgroup.org/stw/Page.asp?PageID=STW023212

http://www.fibroid.com/myomectomy
http://www.babycenter.com.my/preconception/suspectingaproblem/fibroids/http://www.ucsfhealth.org/conditions/fibroids/treatment.htmlhttp://www.uterine-fibroids.org/mr_guided.htmlhttp://www.direct-healthcare.com/hysterectomy.htmhttp://www.umm.edu/patiented/articles/what_radical_surgery_hysterectomy_endometriosis_000074_11.htmhttp://www.yalemedicalgroup.org/stw/Page.asp?PageID=STW023212http://www.fibroid.com/myomectomyhttp://www.fibroid.com/myomectomyhttp://www.yalemedicalgroup.org/stw/Page.asp?PageID=STW023212http://www.umm.edu/patiented/articles/what_radical_surgery_hysterectomy_endometriosis_000074_11.htmhttp://www.direct-healthcare.com/hysterectomy.htmhttp://www.direct-healthcare.com/hysterectomy.htmhttp://www.direct-healthcare.com/hysterectomy.htmhttp://www.uterine-fibroids.org/mr_guided.htmlhttp://www.uterine-fibroids.org/mr_guided.htmlhttp://www.uterine-fibroids.org/mr_guided.htmlhttp://www.ucsfhealth.org/conditions/fibroids/treatment.htmlhttp://www.babycenter.com.my/preconception/suspectingaproblem/fibroids/


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Fibroids Treatment

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