Uterine fibroids - Complications

The most frequent complications are minor and include pelvic pain, nausea, vomiting, anorexia, fatigue, general malaise, low grade fever and abdominal swelling.

A few patients may have some bleeding or a mucus-like vaginal discharge that clears without treatment.

Up to 6 months after embolization, remnants of fibroids or all the fibroid may be passed through the vagina, to be expelled on their own. The fibroid disappeared in 82 of our patients,  43 of them could see the whole expelled fibroid two of them were removed, by histeroscopy.

 

Major complications are rare, they occur in less than 1% of the treated patients and include injuries of the arteries, blood clot formation or infection. In over 1000 patients treated, we had only 3 major complications. Urgent histerectomy was needed in only 2 of  our patients. In another patient there was a thrombosis of the femoral artery that we treated with a stent, and the patient stayed without sequel.

Pulmonary embolism, reported in the literature, is due to immobilization of the patients particularly if they are taking morphine. Such event will not occur in our patients, because the patients start walking 2 hours after the procedure, go home 4 – 8 hours after and are not allowed to stay in bed the next day.

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