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Uterine Fibroids

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There is a new treatment that embolises the fibroids thereby cutting off

the blood supply to them. This causes the fibroid tissue to shrink and

die. The doctor inserts a catheter into the artery in the groin

(inguinal area) and using fluoroscopy (xray) direction, he/she tries to

get the tip of this catheter as close as possible to the artery that

feeds blood to the fibroid. He/she then releases small plastic spheres

into this artery blocking it and preventing blood flow to the

fibroid(s). This surgery/procedure is not done everywhere as yet. It has

allowed women to retain their uterii.

Another techique is called hysteroscopy and is basically scoping of the

interior of the uterus. Peduculated or polyp-like fibroids can be

removed this way, if they are not too large. Larger ones can be cut off

and cut into smaller pieces for removal through the vagina. Sometimes it

is not possible to do this procedure, but it is more common or available

than the embolisation described in the first paragraph.

Myomectomy, as described by Dutch Pat, is also fairly available in North

America. These procedures are more common in teaching hospitals, at

least in Canada.

Aubrey

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