Fibroid embolization Flashcards
1
Q
Indication for UAE
A
- Fibroids
- DUB
- Not very effective for adenomyosis
2
Q
Contraindications of UAE
A
- Recent genital tract infection
- Asymptomatic fibroids
- Pregnancy
- Wanting fertility- can cause early ovarian failure
- Consider myomectomy
3
Q
Outcomes after UAE
A
- 80-90% asymptomatic after 1 year
- 40-70% reduction in fibroid volume
- 10-15% need hysterectomy in 3-5 years
4
Q
Complications of UAE
A
- Need for hysterectomy
- No relief of symptoms
- Expulsion of fibroid
5
Q
Benefits of UAE vs hysterectomy
A
- Cost effective
- Spares hysterectomy in large amount of women
- Shorter hospital stay
- Quicker recovery
6
Q
Choosing the right pt
A
- MDT discussion
- Refer to radiology
- MRI for mapping
7
Q
Counselling pt
A
- Explain all pros and cons
- Post emobolization syndrome
- Passage of fibroid
- Amenorrhoea
- Need for further treatment (esp in young pts)
- Hysterectomy uregent/ in the future
8
Q
Complications- short and long term
A
Short term:
- Pain
- Groin haematoma
- Arterial thrombosis
- Infection
Long term (>30days, more common):
- Vaginal discharge (very common)
- Fibroid expulsion
- Infection
- Amenorrhoea
9
Q
F/u
A
- At least 1 f/u F2F or telephone
10
Q
A
