Uterine Fibroids

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What are uterine fibroids?

Woman holding a uterus model.

A uterine fibroid, also known as a leiomyoma or myoma, is a benign (non-cancerous) tumor that develops in the muscular wall of the uterus. These fibroids are composed of smooth muscle and connective tissue and can vary in size from small nodules to large masses. They can be located within the uterine wall, on its outer surface, or in the uterine cavity. Uterine fibroids can cause symptoms such as heavy menstrual bleeding, pelvic pain, frequent urination, or pressure in the lower abdomen, although some women may have no symptoms at all.

What are the symptoms of uterine fibroids?

Uterine fibroids can present with a range of symptoms, including:

  • Heavy menstrual bleeding

  • Pelvic pain or cramping

  • Frequent urination due to pressure on the bladder

  • Lower back pain

  • Pain during intercourse

  • Sensation of fullness in the abdomen or noticeable abdominal enlargement if the fibroids are large

Woman in pain holding her midsection.

However, some individuals may be asymptomatic, and fibroids may be detected incidentally during routine examinations or imaging.

How are uterine fibroids diagnosed?

Uterine fibroids are diagnosed using several methods:

  • Medical History & Physical Examination

    The clinician gathers information about symptoms and performs a pelvic examination to assess abnormalities

  • Ultrasound

    This imaging technique utilizes sound waves to visualize the uterus and identify the size and location of fibroids

  • Magnetic Resonance Imaging (MRI)

    Provides detailed and precise images of the uterus, especially useful for complex cases

  • Hysteroscopy

    Involves inserting a thin, flexible scope through the vagina and cervix into the uterus to directly visualize and potentially biopsy fibroids within the uterine cavity

  • Sonohysterography

    Also known as saline infusion sonography, this involves injecting a saline solution into the uterus during an ultrasound to enhance imaging of the uterine lining and fibroids

An MRI exam helps in selecting patients who should receive nonsurgical uterine fibroid embolization. Interventional radiologists interpret the MRI images to determine if a fibroid tumor can be embolized, detect alternate causes for the symptoms, identify conditions that could prevent the procedure, and avoid ineffective treatments. Patients should discuss their options with their gynecologist and interventional radiologist.

How MIC Treats Uterine Fibroids

Non-Surgical Procedures

  • Uterine Artery Embolization (UAE)

    A minimally invasive procedure that blocks blood flow to the fibroids, causing them to shrink

  • Focused Ultrasound Surgery (FUS)

    Uses high-intensity ultrasound waves to destroy fibroid tissue

Surgical Procedures

  • Myomectomy

    Surgical removal of fibroids while preserving the uterus, which can be performed via hysteroscopy, laparoscopy, or abdominal surgery

  • Hysterectomy

    Complete removal of the uterus is considered when fibroids are severe or when other treatments are not suitable

Uterine fibroid embolization is a minimally-invasive surgical procedure performed by an interventional radiologist to treat conditions involving the presence of uterine fibroid tumors by blocking their blood supply and shrinking them.

Minimally Invasive Procedure Specialists utilize uterine fibroid embolization, or UFE, as a non-surgical treatment for fibroids. Non-surgical procedures like UFE are much less invasive, in most instances do not require a hospital stay and allow for quicker recovery. Learn more about UFE and call our office in Denver, CO to schedule your consultation. You can also request an appointment online. A member of our staff will reach back out to you to confirm the details of your appointment shortly after the request has been received.

About Your Procedure

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure used to treat uterine fibroids. It involves inserting a catheter through a small incision and guiding it to the uterine arteries. Tiny particles are then injected to block blood flow to the fibroids, causing them to shrink and alleviate symptoms like heavy bleeding and pelvic pain. The procedure typically requires a short recovery time, with most patients resuming normal activities within a week, and it preserves the uterus.

Focused Ultrasound Surgery (FUS) is a non-invasive treatment for uterine fibroids. During the procedure, the patient lies on a treatment table while a machine uses high-intensity ultrasound waves to target and heat the fibroids. This heat destroys the fibroid tissue while preserving the surrounding healthy tissue. The treatment is guided by real-time imaging to ensure accuracy. Recovery is typically quick, with many patients returning to normal activities within a few days.

Uterine fibroid embolization takes about an hour. After the procedure, the patient is required to remain in a hospital setting overnight. Most women experience moderate to severe pain and cramping for several hours after having the procedure. On occasion, some may also experience fever and nausea. The majority of women are able to return to normal activity 7 to 10 days after the procedure and many resume light activities in a few days. Between 85 to 90 percent of women experience significant or complete relief of heavy bleeding and relief from pain.

Varicose

Veins

Pelvic

Pain

Non Healing Wounds

Plantar

Fasciitis

Uterine

Fibroids

Benign Prostatic Hyperplasia

Services

CT Scan

Minimally Invasive Therapies

Molecular Medicine

MRI

Ultrasound

Women's Imaging

11902 West Center Rd., Ste 200

Omaha, NE 68144

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