Uterine anteversion after uterine fibroid embolization

Area of Science:

• Gynecological interventions
• Vascular interventions
• Reproductive medicine

Background:

• Uterine fibroid embolization (UFE) is an effective, non-surgical treatment for symptomatic uterine fibroids.
• Uterine position commonly presents as anteverted, with retroverted uteri observed in 15%-20% of females.
• Uterine position can dynamically shift due to factors like bladder fullness or pregnancy.

Observation:

• A patient presented with a retroverted uterus.
• This uterine position changed to anteverted six months post-UFE.
• This positional change occurred without pregnancy or endometriosis.

Findings:

• The study documents a rare spontaneous shift in uterine orientation from retroversion to anteversion.
• This change was observed six months after successful uterine fibroid embolization.
• The patient's uterine position altered despite the absence of common contributing factors like pregnancy or endometriosis.

Implications:

• This case highlights a potential, albeit uncommon, sequela of uterine fibroid embolization.
• Understanding uterine mobility post-embolization is crucial for patient counseling and follow-up care.
• Further research may elucidate the mechanisms behind such uterine positional changes after interventional procedures.