Uterine fibroids - Results

The blockage of the tiny vessels which supply blood to the fibroids leads to starvation of the fibroids and cause their death and sequential shrink. At 6 months, the reduction of volume of the fibroids will be 20 – 80 % and the overall uterine volume reduction will be 20 – 50%. However the volume reduction will continue up to 5 years. At this time, the successfully treated fibroids will be calcified, that means they will not grow. More important than the percentage of reduction of the fibroid and uterus is the rate of ischemia of fibroid, that is, the percentage of reduction of the blood flow that should be greater than 90% for a good prognosis. In this case it means that the fibroids will not grow again.

Uterine fibroid embolization reduces bleeding, urinary frequency and abdominal enlargement in over 90% of women who undergo the procedure.

Similarly, the quality of life will improve after embolization.

Pregnancy is possible after embolization, and 57 patients, who could not get pregnant, got pregnancy, 44 of them were able to have already their children without any complication.

UFE is considered successful if there is clinical improvemed and fibroid ischemia over 90%. The success of UFE at saint Louis Hospital is over 90%.

Abdomen swelling due to myoma
Figure 1
a) Abdomen swelling due to myoma
b) Immediately after embolization there is decrease of the swelling
c, d) 4 hours after embolization, there is more reduction of the swelling, the patient was discharged without any symptoms

abdomen swelling due to myoma
Figure 2
a, b, c) abdomen swelling due to myoma
d) six months after embolization the swelling is gone.

Magnetic Resonance
Figure 3) Magnetic Resonance
a) Two round gray zones due to myomas (arrows)
b) six months after embolization there is reduction in size of the myoma, and they became black due to reduction of blood supply.

Figure 4 - Five pregnant women after embolization. All of them had already normal delivery and babies.
Figure 4 – Five pregnant women after embolization. All of them had already normal delivery and babies.

Figure 5 - Two babies born after embolization
Figure 5 – Two babies born after embolization

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