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Interventional Radiology Treatment Could Decrease Hysterectomy Rate by One-Third

by Barbara Kram, Editor | January 08, 2008

This data shows that the long-term clinical outcomes of UFE are consistent when the procedure is performed in any experienced community or academic interventional radiology practice. "The Registry's outcomes are important not only because of its size, but also because of the diversity of sites that participated. These results demonstrate that uterine fibroid embolization is safe and very effective beyond the academic or specialized centers." The Registry is one of the few efforts ever undertaken to study the efficacy of a procedure as it disseminates into broad practice, and this is the first such effort for a fibroid therapy by any specialty.

"It is important for women to know all of their treatment options in order to make an informed decision. Interventional radiologists can provide a second opinion and assess whether UFE is a treatment option. The vast majority of women are eligible for this treatment," says Goodwin. Interventional radiologists use MRI to delineate the location of each fibroid, determine if a tumor can be embolized, detect alternate causes for the symptoms, identify pathology that could prevent a women from having UFE, and avoid ineffective treatments. The number of women requiring retreatment after UFE in the registry is similar to the surgical reintervention rates, of approximately five percent per year, following myomectomy.

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About Uterine Fibroid Embolization

Uterine fibroid embolization is performed by interventional radiologists, physicians who are fellowship trained in minimally invasive treatments. Embolization is a common interventional radiology treatment for benign and cancerous tumors. In uterine fibroid embolization, the interventional radiologist makes a tiny nick in the skin, about the size of a pencil tip, and inserts a catheter into the femoral artery. Using real-time imaging, the
physician guides the catheter up the artery and then releases tiny particles, the size of grains of sand, into the blood vessels feeding the fibroid, cutting off its blood supply, causing it to shrink and die, and symptoms to subside. Most women return home the next day and can resume normal activities, with an average full recovery time of seven to 10 days.

About the Society of Interventional Radiology Foundation

The SIR Foundation is a scientific foundation dedicated to fostering research and education in interventional radiology for the purposes of advancing scientific knowledge, increasing the number of skilled investigators in interventional radiology, and developing innovative therapies that lead to improved patient care and quality of life.