Uterine Artery Embolisation In Symptomatic Uterine Fibroid

1 (Assistant professor, Department of OBG, Coimbatore Medical College Hospital, Coimbatore, India) 2 (Assistant professor, Department of OBG, Coimbatore Medical College Hospital, Coimbatore, India) __________________________________________________________________________________________ Abstract: Fibroid is the commonest benign tumour of uterus in reproductive age women. It causes symptoms like menorrhagia, dysmenorrhoea, pressure effects, infertility etc. impairing the women’s day today activity. Uterine artery embolism is an emerging tecniqunic which is a non invasive procedure with short hospitalisation and early recovery. It preserves uterus and also improves the symptoms. This study is a prospective interventional trial which is done to find the effectiveness of the procedure in terms of improvement in symptoms like menorrhagia, dysmenorrhoea and pressure symptoms. This study also analyses the technical difficulties encountered in the procedure, complications during and after the procedure. 30 eligible patients are subjected to UAE after initial evaluation. From this study we have found that Uterine Artery Embolisation for the patients having symptomatic uterine fibroid is an effective and safe alternate treatment with significant reduction in patient’s symptoms and good patient’s satisfaction. It has less failure rates in short term follow up. Single femoral puncture technique can be used to embolise both uterine arteries successfully in most of the patients.. This procedure is safe and has good patient’s tolerance, short recovery time, quick and sustained symptomatic improvement. Careful selection of cases and proper counselling before embolisation can bring maximum success to the procedure.