Obstruction Of Uterine Fibroids – New Treatments

Uterine fibroids are still often treated with surgery "Fibroids or Hysterectomy". In Vietnam, non-surgical conservative treatment of uterine fibroid obstruction has given patients a new option for more than 10 years.
Method of obstruction of uterine fibroids
This is a non-surgical UXTC treatment, using an intravascular catheter, performed on a DSA angiogram.
A small, soft catheter is inserted through the femoral artery to reach the two uterine arteries. Thereby, the clogging substance is PVA particles (PolyVinyl Alcohol) which are pumped in and clogged 2 uterine arteries

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UXTC block will become sterile necrosis and atrophy due to anemia, becoming a small scar on the wall of the uterus. This treatment method is highly effective, does not cause anesthesia, does not cause blood loss, does not leave scars on the abdomen, does not interfere with the abdominal cavity, while the possibility of pregnancy and childbirth, discharged after 2-3 days, recovery Fast recovery.
Success rate reaches 95% Patients completely or nearly completely symptomatic in the first 1-2 months after treatment.



Atrophic fibroids gradually shrink after 3-6 months, maximum after 1 year. Cases with multiple cores also respond well to this technique. Recurrent nuclei are rare, ~ 1%.
This treatment is only applicable to cases of UXTC with multiple blood vessels (angiogenesis), as determined by Doppler ultrasound or magnetic resonance.
Non-surgical treatment, using intravascular catheters, performed on DSA angiography
Notes before treatment of uterine fibroid obstruction
Gynecological examination, advice on treatment. If appendicitis is present, medical treatment is needed first to reduce the risk of endometrial infection after embolization.
Abdominal, uterine, UXTC ultrasound (especially Doppler ultrasound), appendages In the case of complex or longer-lasting lesions, the patient may need magnetic resonance imaging to give a more detailed and accurate assessment of the structure of the uterus and fibroids
Blood tests, ECG, X-ray CXR.




Indentation cleanses the colon with water or medicine before treatment intervention.
Patient writes a statement of acceptance of treatment.
Evolution after treatment of uterine fibroid obstruction
After the two uterine arteries are completely blocked, the patient will experience increased pain in the lower abdomen. Pain level was not the same among patients. Pain is highest within the first 24-48 hours after the procedure, then subsides and there is only a dull, severe feeling lasting 5-7 days.
In addition, there may be mild fever, vomiting, fatigue. Patients usually leave the hospital after 2-3 days, return to work after 5-7 days. During the first 1-3 weeks after embolization, there is usually a pale pink vaginal discharge.




Complications: Endometrial infection can be found in <1% of patients, and can be treated with high doses of antibiotics, if there is no outcome of hysterectomy. About 2-3% have amenorrhoea after the procedure due to ovarian failure. Patients often have mild fever, vomiting, fatigue Notes after discharge Walk gently for the first week Eat normally, abstain from stimulants Use pain medication if needed Do not soak in the tub for the first 2 weeks Abstain from couple activities in the first month Visit doctor's appointment periodically: 3, 6 and 12 months after treatment If you have symptoms of endometrial infection: fever, fatigue, vaginal discharge and bad odor ... you need to go to the hospital immediately for active anti-bacterial treatment. Patients do not soak in the tub for the first 2 weeks Health symptoms after treatment Menstruation: most patients have a normal cycle during the first month, possibly after 2-3 months if they have a serious disorder. Some cases were amenorrhea in the first few months.


About 2-3% of menstrual periods are completely due to ovarian failure. In some cases, the reduction of menstruation.
Tumors: uterine fibroids gradually reduce in size, reaching a maximum after 9-12 months. When the ultrasound examination showed that there were still small tumors, but in fact they were scars.
A color ultrasound is needed to see if the tumor is still in blood and to evaluate the blood vessels of the uterus muscle. Few cases of fibrous necrosis, fall into the uterus and are ejected in a natural way.
In case of needing pregnancy after treatment: it is necessary to have closer and more detailed color ultrasound examination and examination. Pregnant should only be after 9 -12 months from the date of treatment.



The ability to conceive and give birth after the treatment of uterine fibroids depends on the individual patient.
For more information about treating uterine fibroids by this method, please call (84-4) 39 275 568; (84-4) 730 588 80 or contact 2-front desk of Hopital Hospital..

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