Discover Uterine Artery Embolization a Smart Alternative to Hysterectomy
Image is obtained from: ausrad.com
If you’ve heard that a hysterectomy is the only answer to uterine fibroids, pause—and discover a smarter, uterus-preserving solution: Uterine Artery Embolization (UAE). This precise, minimally invasive procedure requires no incisions or general anesthesia and offers faster recovery with much less discomfort.
What is UAE?
A specialized interventional radiologist threads a catheter into the uterine artery and releases tiny particles to block the fibroid’s blood supply. As a result, the fibroid shrinks gradually, relieving symptoms without major surgery.
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Why UAE is a Great Option
Benefits of Uterine Artery Embolization:
– Minimally invasive: Only a tiny skin nick is needed—no stitches, no general anesthesia
– Faster recovery: Most patients resume normal activities within days, not weeks
– Cost-effective: UAE costs about 12% less than hysterectomy and 8% less than a myomectomy
– Uterus-sparing: Ideal for those wishing to preserve their uterus and avoid removal
– Highly effective: 80–90% of patients experience significant symptom relief within a year
Fertility Considerations
While some women have become pregnant post-UAE, fertility outcomes vary, and the procedure may not be the best option if future pregnancy is a priority. Discuss with your doctor to assess what’s right for you
Is UAE right for you?
Led by Dr. Ali Reza Rasekhi—the pioneer who introduced interventional radiology to Shiraz—this video offers a hopeful alternative to traditional surgery. Watch and see how a modern, minimally invasive approach can transform lives—with less pain, faster healing, and real, lasting results.
Uterine Artery Embolization performed by Dr. Alireza Rasekhi
Read more about UAE
Uterine Artery Embolization (UAE) is a well-established, minimally invasive treatment for uterine fibroids — benign growths that develop within the muscular wall of the uterus. First introduced in the early 1990s as an alternative to hysterectomy and myomectomy, UAE has since been refined with advancements in imaging guidance, catheter technology, and embolic materials, making it a widely accepted option worldwide.
The Uterine Artery Embolization procedure is performed by a specialized interventional radiologist in a hospital or advanced outpatient setting. Under local anesthesia and mild sedation, a small incision is made — typically in the femoral artery at the groin or, in some cases, the radial artery at the wrist. Guided by real-time fluoroscopy (X-ray imaging), a thin catheter is navigated through the vascular system into the uterine arteries.
Once the catheter tip is precisely positioned, microscopic biocompatible particles — often made of polyvinyl alcohol (PVA) or other medical-grade polymers — are released into the vessels supplying the fibroid. These particles create a blockage, stopping the flow of oxygenated blood to the fibroid while preserving circulation to the surrounding healthy uterine tissue. Over time, the fibroid shrinks, softens, and becomes less symptomatic.
Clinical outcomes are generally very favorable. Multiple studies report symptom improvement in 85–90% of patients, including reduced menstrual bleeding, relief from pelvic discomfort, and improved quality of life. Recovery is significantly shorter than with traditional surgical options, with most women resuming normal activities within one to two weeks.
Advantages of Uterine Artery Embolization (UAE) include:
- No large abdominal incision
- Preservation of the uterus
- Lower risk of surgical complications
- Shorter hospital stay and quicker recovery
However, as with any medical procedure, there are potential risks. These may include mild post-procedural pain or cramping, temporary fatigue, low-grade fever (post-embolization syndrome), and in rare cases, infection or unintended impact on ovarian function. Careful patient selection and thorough pre-procedure evaluation are essential to maximize safety and effectiveness.
Today, UAE or Uterine Artery Embolization is recognized by numerous international medical societies as a safe, effective, and durable treatment for many women with fibroid-related symptoms — especially those seeking to avoid major surgery while maintaining uterine integrity.
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