Uterine artery embolisation (UAE), also called uterine fibroid embolisation (UFE), is an evidence-based, minimally invasive treatment for women with symptomatic fibroids and, in selected cases, adenomyosis. It is one of the most well studied minimally invasive treatments for fibroids and is an established alternative to major surgery for appropriately selected patients.
Fibroids are common benign growths within the muscular wall of the uterus. Adenomyosis occurs when tissue similar to the uterine lining grows within the uterine muscle and may contribute to heavy menstrual bleeding, painful periods, pelvic pressure and enlargement of the uterus.
By reducing the blood supply to the affected tissue, UAE can help relieve symptoms over time while avoiding major surgery for many women.
Why consider UAE?
For many women, UAE offers a safe and effective alternative to surgical treatment or removal of the uterus. Potential benefits include a minimally invasive approach, preservation of the uterus, and improvement in symptoms such as heavy menstrual bleeding, pelvic pain, pelvic pressure and bulk-related discomfort. Fertility remains unaffected, and pregnancy remains is possible after UAE.
Recovery is often shorter than with major surgery, although the most appropriate treatment depends on the individual patient, their imaging findings, and their treatment goals.
Although UAE is a well-established treatment internationally, access has historically been more limited for many women in Australia and New Zealand than the evidence would suggest. VIRQ are committed to improving awareness and expanding access to this treatment across communities in Queensland.
How is UAE performed?
UAE is a minimally invasive, non-surgical procedure performed by an interventional radiologist using X-ray guidance. A fine catheter is inserted through a small artery, usually in the groin or wrist, and guided into the uterine arteries. Tiny embolic particles are then delivered to reduce blood flow to the fibroids or areas of adenomyosis being targeted.
The procedure is usually performed with sedation and local anaesthetic, depending on the treatment plan and individual patient factors.
Who may be suitable?
UAE may be suitable for women experiencing troublesome symptoms from fibroids and for some women with adenomyosis. The most appropriate treatment depends on a number of factors, including symptoms; fibroid size, number and location; the pattern and extent of adenomyosis; imaging findings; previous treatment; and whether future pregnancy is a consideration.
A consultation with one of our interventional radiologists can help determine whether UAE is an appropriate option for your individual circumstances. We work closely with your gynaecologist and other members of your care team to ensure treatment is considered in the context of your overall health.
Recovery and important considerations
After UAE, it is common to experience pelvic pain, cramping, tiredness, nausea, or flu-like symptoms for a short period. Recovery is often faster than after major surgery, although each patient’s experience is different.
The expected benefits, limitations and risks of treatment will be discussed carefully during consultation so that the most appropriate management plan can be made for you.
Is UAE right for you?
If you have been diagnosed with fibroids or adenomyosis and are considering treatment, uterine artery embolisation may be worth considering. A consultation with one of our interventional radiologists can help clarify whether this treatment is suitable for you.
Queensland interventional radiology treatment for HAE
Vascular and Interventional Radiology Queensland (VIRQ) is a specialist vascular interventional radiology service comprised of highly skilled and passionate specialists across Brisbane, Sunshine Coast, Ipswich, Toowoomba and Cairns. We provide cutting-edge interventional radiology procedures including haemorrhoid artery embolisation.
Speak with your GP or specialist for a referral to VIRQ to learn more about UAE procedures.