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Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

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Current concepts in uterine fibroid embolization.

Julie C Bulman¹, Susan M Ascher, James B Spies

¹Department of Radiology, Georgetown University Hospital, 3800 Reservoir Rd NW, CG 201, Washington, DC 20007-2113, USA.

Radiographics : a Review Publication of the Radiological Society of North America, Inc

|October 16, 2012

Summary

Uterine fibroid embolization (UFE) offers a minimally invasive option for symptomatic uterine fibroids, effectively resolving symptoms like heavy bleeding and pain. While generally safe, potential risks include ovarian issues and fibroid expulsion, necessitating careful patient evaluation.

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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Area of Science:

Interventional Radiology
Gynecology
Vascular Imaging

Background:

Uterine fibroids are common benign tumors affecting women of reproductive age.
Symptomatic fibroids can cause significant menorrhagia, pelvic pain, and pressure.
Hysterectomy is a definitive treatment, but minimally invasive options are increasingly sought.

Purpose of the Study:

To review the procedure, indications, and contraindications for Uterine Fibroid Embolization (UFE).
To highlight the role of diagnostic imaging in UFE patient care.
To discuss expected outcomes and potential adverse events associated with UFE.

Main Methods:

UFE involves bilateral uterine artery catheterization and embolization.
Pre-procedure evaluation includes medical history, menstrual history, physical exam, and fertility assessment.
Imaging is crucial for patient selection and procedural guidance.

Main Results:

UFE is effective in resolving symptoms such as menorrhagia, pelvic pressure, and pain.
Most fibroids receive blood supply from both uterine arteries, necessitating bilateral embolization.
Few absolute contraindications exist, primarily pregnancy, malignancy, and infection.

Conclusions:

UFE is an accepted, minimally invasive treatment for symptomatic uterine fibroids.
Comprehensive patient evaluation by interventional radiologists and gynecologists is essential.
While generally safe, potential adverse events like ovarian failure and fibroid expulsion require consideration.