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The treatment of uterine fibroids without surgery – 3 modern methods

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Uterine myoma is a tumor of benign character, which is formed from the muscular layer of the organ and mainly composed of elements of the connective tissue. This formation can be treated. Modern medicine offers the latest methods of removing the disease with minimal losses for women's health.


Uterine artery embolization (UAE)

One of the modern methods of treatment of fibroids is uterine artery embolization. This minimally invasive technique allowing non-invasive way to remove the tumor.

What is uterine artery embolization?

Uterine artery embolization is one of the modern ways to treat fibroids without surgery. The therapeutic effect is achieved due to the fact that fibroids cease to receive nutrients delivered with the blood. This is due to the overlap of blood supply to the tumor.

It should be noted that this radically new method is considered to be in Russia at that time, as in most countries it is successfully used since the early 70-ies of the last century. After the first embolization was used to stop bleeding during operations, and then transformed into an independent method of treatment. Permission to embolization, as in an endovascular procedure in the Russian Federation was received in 1998. Of course, against the background of previously used surgical operation to remove the uterus together with the fibroids, this method is innovative.

The word already implies a selective embolization of the occlusion or blockage of blood vessels by introducing emboli (unrelated vnutrimatocny substrate). For the treatment of fibroids uses small balls, which are received along with the entered drug. As a result, the fibroids die within a few hours, as her arteries are blocked. The doctor who performs this technique, called roentgenogram (interventional radiologist, endovascular surgeon). For its implementation it is necessary that the clinic was equipped with a special angiographic equipment rooms office.

This technique gives the opportunity to refuse removal of the uterus upon detection of fibroids and the need to make incisions in the abdominal cavity. That is, a woman does not lose reproductive function, and afterthe rehabilitation process will be able to return to normal life and to conceive a child.

Indications for embolization

To were assigned to uterine artery embolization, a woman needs to be examined by a doctor.

The indication for the operation are:

  • Fibroids that does not exceed the size of 20 weeks pregnancy. If education is more embolization impossible.
  • The absence of pathological processes in the cervix, in the layer of the endometrium and ovaries.

  • A woman's desire in the future to have children.
  • The impact of fibroids on infertility when establishing this connection.
  • When providing a myoma impact on the inability to bear a child, when the tumor becomes causes of miscarriages.
  • The impossibility of secure to women's health myomectomy.
  • Preparing for the upcoming myomectomy or surgery to remove the uterus along with the fibroids.
  • Major nodes of multiple fibroids.
  • Amyloidosis blood vessels of the uterus.

A significant impact on conducting the procedure provides a woman's desire to preserve reproductive function.

Contraindications to uterine artery embolization

Like any other type of minimally invasive intervention, embolisation is not only evidence, but also contraindications to its conduct.

Among them:

  • The size of the uterus with myoma exceed 20 weeks of pregnancy.
  • Cancer.

  • Pregnancy.
  • Any active inflammatory and infectious processes in the vagina or the ovaries.
  • Obstruction of the iliac arteries and their branches.
  • Renal failure.

  • Of blood clotting.
  • Submucous myoma on the leg, but she must be single. In the presence of multiple submucous myomas, one of which will be on the leg, embolization can be carried out.
  • Allergic reaction to contrast agents which are used for embolization.

In addition, the relative contraindication can be subserous nodes larger than 10 cm, within which blood flow is weakened.

Mechanism of action

Beforeof the procedure, the woman must undergo a small preparatory stage. It boils down to the fact that in the day of your admission you should give up eating. Groin and thigh should be no hairline, which is to use a razor. On both legs to the imposition of elastic bandages, immediately prior to the procedure.

The patient brought in the room and laid on the angiography table. Abdomen and thigh are treated with antiseptic solutions. Through a puncture (the size is less than 1.5 mm), which is performed in the region of the groin, in the femoral artery tube may be inserted-catheter (diameter 1.2 mm). For anaesthesia use local anaesthesia, as the procedure is not too painful. Most often used for this either novocaine or lidocaine. Under fluoroscopic guidance, the physician holds the catheter in the uterine artery, to the point where it begins to branch out and nourish Minnie nodes.

To ensure that the catheter is correctly positioned, and to confirm the fibroids is arteriogram. That is, the catheter is a special contrast agent, which can be seen using x-rays. Making sure everything is done correctly, the surgeon begins the introduction to artery emboli. Their roles are either the smallest particles of gelatin sponge or plastic beads of polyvinyl alcohol or polyurethane foam.

Once the emboli reach narrow vessels, they are there to stop plugging them. Therefore, the blood can no longer flow to the tissues of the tumor and its nutrition is impaired.

To completely deprive the fibroid of nutrition, the same procedure is carried out in the second femoral artery. Then, the surgeon again performs arteriogram, the purpose of which is to eliminate the slightest possibility of supply of the tumor.

Place, exposed to puncture is closed with a sterile pad. In addition, the thigh compression bandage. After 12 hours it is removed and embolization is completed. Then the woman will undergo a recovery period.

During the techniques, a woman may experience a feeling of warmth in the legs and lower abdomen. The average time of embolization is 15 minutes. Although the duration depends on the depth of location of nodes, their number and can reach half an hour.

Results of uterine artery embolization

The result of resorption embolization is fibroids. It continues to shrink in size during the first six months. Although in the future, there is a tendency to decrease. Statistics show that 12 months after embolization, the tumor size becomes less than 4 times. The uterus thus becomes normalvolumes.

Sometimes the result of embolization may be the output nodes of the tumor through the natural way. This is often the case in close location to the uterine cavity. Such expulsion of myomas is considered the most favorable outcome of the procedure due to the speedy recovery of all damaged structures.

Women pain disappear, the normal menstrual cycle, the volume of secretion is reduced. Moreover, this early qualitative characteristics of the performed procedure.

Myoma itself is thus replaced by connective tissue.

Advantages of uterine artery embolization

This procedure of getting rid of the tumor has clear advantages compared to other methods of treatment.

They boil down to the fact that:

  • The risk of recurrence of the disease is absent. This is because the time of embolization arteries close up all nodes, regardless of their size. That is, even the smallest meanie education will cease to receive nourishment and will die. Statistics indicates that 98% of patients who passed through embolization, further treatment is not required at all. Any surgical intervention to achieve such performance impossible.
  • After the procedure on a woman's body there will be no visible scars, no scars.
  • In the process of execution requires the introduction of General anesthesia. The procedure is virtually painless. This means that the body will not be subject to additional load and will not require recovery after the global anesthesia.

  • After embolization the patient has no need for a long time to stay in the hospital. Doctors recommend to stay under supervision for another two days. However, many women leave the clinic a few hours later on the same day.

  • The technique is applicable to those women who have contraindications to surgical intervention.

  • A woman does not lose the opportunity in the future to have children.

That is why the procedure every year becomes more and more popular, and to do it offer more clinics in the country.

Postembolization period

When the procedure is completed, the woman will have to go back to the house. The puncture site is cooled with ice. Sometimes you may need to install a dropper. After a couple of hours, a woman will begin to experience an unpleasant dragging sensation, sometimes quite painful. The place of their localization – the lower abdomen. They are due to the fact thatfibroids begin to experience bouts of ischemia. Be extended for such feelings a few hours and be relieved by pain medications.

The puncture site where the catheter was introduced, one can observe a hematoma, which eventually passes. The woman during the first 12 hours will not be able to bend my right leg, if was imposed compressive bandage, then it will be removed after two hours.

In addition, potabilization period may increase the body temperature. Usually the thermometer is not showing values above the level of 37.5 degrees. Sometimes the concomitant symptoms getting dizzy, weakness, nausea. To be afraid of this should not be, because such satellites in the early rehabilitation period pass quickly and do not threaten the health of the patient.

A few days later the woman goes home, but she will have to refrain from physical activity for weeks.

The following recommendations will help the patient without complications undergo later period of rehabilitation:

  • The amount of fluid should be increased, that is the prevention of clogging of blood vessels.

  • Sometimes it is possible to acetylsalicylic acid, as a means to thin the blood.
  • In some cases, doctors recommend over the weeks wear on legs elastic bandages.

  • Not in the first week after the operation to visit a bath, sauna, steam room, sauna or swimming pool.
  • Sexual rest must be observed during the first 10 days after the procedure.
  • In the next three months are forbidden to use tampons during menstruation. With hygienic purpose it is possible to use only pads.

Thus is postembolization period and it takes no more than 10 days.

Side effects and complications

Although the procedure is considered quite safe, there is still a risk of side effects. However, they are much lower than after surgery and develop in isolated cases.

Among the most common complications are the following:

  • Bruising in the area of the puncture. Usually it resolves itself after a week.
  • Disorders of the menstrual cycle, which occurs in 3% of cases. Sometimes may develop amenorea. But these effects are temporary and 3 months later, and sometimes before, they pass.
  • The infection is only possible in 1% of cases. If inflammation develops, it is eliminated by taking antibioticsdrugs. Cases perform a hysterectomy to eliminate the infectious process are extremely rare.

  • Still less is the penetration of the particles used for embolization in the vascular pool. This complication is a threat to a woman's life and requires surgical intervention.

  • If treatment has undergone a submucous myoma, there is the risk of new nodes. As a rule, their birth was possible in 20% of cases.
  • Perforation of the uterine arteries is a rare but possible complication of the procedure.
  • A woman should know that over the next year, she should not plan pregnancy, as it faces a high risk of miscarriage.

About all the possible complications and consequences of the procedure, the woman should be informed in advance by the attending physician. This should be done because surgical intervention may be required to complete the embolization procedure.

Topic: upland uterus and red brush with uterine fibroids


FUZZ-ablation of uterine fibroids

FUZZ-ablation is a noninvasive procedure in which the effect on the fibroids is performed using focused ultrasound. All actions of the doctor to be monitored by magnetic resonance imaging.

Ultrasonic waves act on the tumor accurately. The woman is inside the imager. Before the procedure, the physician scans the cervix and identifies a place that will need to handle. After that, the site of the fibroid heats up under the influence of a beam of ultrasonic waves is the destruction of its tissues.

In the Russian Federation this method is allowed to use for treatment of fibroids, since 2004 and is a relatively young procedure. However, this does not affect its effectiveness.

Preparing for FUZZ-ablation of uterine fibroids

With regard to the preparation for the procedure, it is important to clarify the absence of contraindications and to exclude pregnancy. The ban on taking food and water there. However, you should refrain from consumption of products that lead to increased flatulence. On your feet it is advisable to wear compression stockings, it must be done immediately before the procedure.

Conduct FUZZ-ablation of uterine fibroids

The operation can last up to several hours, the time of each exposure is equivalent to 20 seconds. Most often, the woman in the doctor's office spends up to 4 hours. However, she isconsciousness. She lies on her belly, under it is a special gel pad. The doctor is in the next room watching through the glass and on the monitor. To provide sedative and analgesic effect, the woman on the catheter serves special medicines. In addition to the feeling of warmth in the abdomen, during the procedure, the patient experiences nothing more.

Waves pass through the tissues of the body and thermally affect the tissue of the tumor, heating it to 85 degrees. The impact will continue as long as the entire tumor is treated.

The end of the procedure will be a test scan using an MRI.

In order to prevent emergency situations, in the hand of the woman always has a special button, clicking on which it will be able to stop the procedure. But, as a rule, use is not necessary. Except for slight burning sensation and slight pain in the lower back to feel the woman can not do anything. If the patient complains of pain, stop the procedure immediately, the energy and the duration of exposure varies. Thus, the session again becomes comfortable.

Be under the supervision of doctors, the patient will have only a few hours. If there are no complications, she goes home. The destruction of the myoma node occurs gradually, but this process is inevitable.

Benefits and contraindications FUZZ-ablation

Despite the fact that this procedure is quite new, it has already gained popularity.

This is due to the following advantages:

  • Fuzz-ablation may be applied when the size of the fibroids is quite impressive, and when multiple nodules.
  • On the woman's body is no trauma, no scars, scars.
  • This is an absolutely bloodless procedure. The size of the nodes is either reduced to a few times, or they completely dissolve.
  • There is no risk of necrosis of the uterus and its inflammation after the procedure.
  • The uterus remains in a woman's body, which means that it has the ability to reproduce.
  • The possibility of relapse is minimized.
  • The recovery period does not take much time.
  • During the procedure does not require any anesthesia.

However, in some cases, the FUZZ-ablation cannot be carried out. This is due to the following factors:

  • The woman in the body there are metal implants or pacemaker.
  • There are marked disorders of the liver, kidney andof the cardiovascular system.

  • The presence in the body of a woman intrauterine device until it is retrieved.
  • Contraindications to undergo MRI.

  • Available on the abdominal wall massive scars and scars.

  • Inflammatory diseases of the pelvic organs in the acute period.
  • Body weight exceeding 110 kgand waist circumference more of the same numbers.

  • Uterine artery embolization, which was performed earlier.
  • Severe extragenital pathology.

Therefore, it is important that the woman before the procedure has undergone rigorous examination. It should be aimed at clarifying the number of nodes, their size and location. It is important that the site was located from the sacrum at a distance of not less than 4 cmthat was not damaged sciatic nerves. The maximum volume of the tumors should not exceed 500 cubic centimeters. Of the nodes should not be more than five pieces. In addition, you cannot perform the procedure if the tumor refers to the type of submucous or subserous nodes with the leg. Contraindication is the location of the nodes under multiple loops of intestine. In all other cases, the procedure is not contraindicated and is an excellent alternative to surgical interventions.

Complications FUZZ-ablation of uterine fibroids

Although the procedure is quite safe, however, you may encounter the following complications:

  • May lead to a slight heat burns on the skin (they arise less than 5% of cases);

  • The development of the neuralgia of the sciatic nerve, but it is temporary and after a short period of time it is held;
  • Due to the improper actions of a doctor, some of the myoma tissue may remain untreated, which increases the risk of relapse;
  • Possible damage to the rectum (less than 1% of cases).

In some cases it was the FUZZ-ablation is the only procedure that allows to preserve the possibility for future reproduction.


Topic: 5 natural remedies from uterine fibroids

Exercise with uterine fibroids by the method of Bubnov

There is another non-surgical way to get rid of uterine fibroids is performingspecialized exercises for certain methods. The course is designed and structured doctor of medical Sciences S. N. Bubnovka. His system of exercises is called kinesitherapy.

The main goal that can be achieved by exercise is an activation of deeply located muscles. They are located in or near, or adjacent to the spine and large joints. As a result, increases blood circulation, improves blood flow to the organs, they get more power. Positive impact the method has on the cartilage tissue.

The Professor connects the problem of the development of uterine fibroids is the fact that the pelvic muscles of the bottom and the crotch should not feel the load. Negative effect on illness also has the insufficiency and weakness of muscle mass and press your lower back. Their study with the aim of providing a positive influence on the process of treatment of fibroids – this is the basic objective pursued by the modern kinesitherapy.

How it was possible to hold such a relationship? It was discovered in the treatment of female patients of the center of doctor Bubnovskiy from degenerative disc disease. Often, during a complete survey about degenerative disc disease, were found to have a problem such as uterine fibroids. After completion of rehabilitation course aimed at getting rid of women from diseases of the joints, often there is a complete resorption fibroids located on the uterine wall. Similar observations were given the opportunity to draw a parallel between legirovaniem of the tumor and the positive influence of kinesitherapy.

With the passage of the therapeutic course aimed at getting rid of degenerative disc disease in the obligatory order were involved in the pelvic floor muscles. It turned out that it helps to eliminate pain, increase blood supply and nutrition of all organs and disappearance of benign tumors such as fibroids.

In addition, the woman promptly managed to get rid of the pain caused by not only low back pain but fibroids. As you know, the tumor also causes patients to experience unpleasant nagging or sharp feeling of pain in the abdomen.

Practice of professionals working in the Centre Professor Bubnovsky, clearly gave to understand that women have managed to overcome the pain caused by not only present at the moment the tumor, but also after its removal. Most patients notice that discomfort, not leave them after surgery, completely disappear. Most often, the positive dynamics is observed after a course of kinesitherapy treatment lumbar where there is intervertebral hernia. This led to the conclusion thatthe developed procedure works successfully, even where other methods of treatment remain powerless. Physiotherapy pain wins, and this is proved experimentally.

Professionals working in the clinic noticed that if the tumor is deprived of existence comfortable for its growth and development conditions, it begins to disappear. One of the favorable factors for the formation and increase in fibroid volume is a passive muscular uterine layer. Beginning his active work, will be able to strengthen the body to fight disease. Doctors-physiologists find a rational explanation for this fact. They believe that the resorption of the tumor is the result of the fact that aktiviziruyutsya phagocytosis, which is a positive impact of the active study of the deep muscle layer.

The analytical work allowed the specialists of the Centre Professor Bubnovsky to allocate a separate area of kinesitherapy. Its purpose is not only to eliminate the pain associated with the fibroids and after its removal, but the resorption of benign tumors. This program is implemented in a separate "Hall of women's health" and consists of specific exercises. That is, if the excision of the mass was the accidental result of the treatment of degenerative disc disease, now created a separate area focusing on this disease. This allows you to speed up the healing process faster and to save a woman from the unpleasant symptoms of the disease. A set of exercises is implemented using exclusive equipment and under the strict supervision of professionals working in the Center. The training was developed directly by the Professor, and so have no analogues in the world.

Women who want to get rid of uterine fibroids and not to resort to surgery, there are plenty to choose from. All three bezoperatsionnaya method available and allow you to effectively and quickly solve the problem.

However, it is necessary to take into account that embolization of the uterine arteries and FUZZ-ablation can be done in any specialized clinic. In that time, kinesitherapy available for playing only in the Centers of the Professor Bubnovsky and should apply only there.