UFE (Uterine Fibroid Embolization) or UAE (Uterine Artery Embolization) are slightly different terms for the same procedure. They are nonsurgical alternatives to hysterectomy or other surgical alternatives in the treatment of uterine fibroids.
You are encouraged to be well hydrated (drink lots of fluids) the day before the procedure. Nothing is to be taken by mouth after midnight the night before the procedure. One exception to this is if you take blood pressure medicine in the morning, this can be taken with small sips of water. Prepare your bedside table the night before (tissues, heating pad, thermometer, loose-fitting nightgown, important phone numbers of doctors, pharmacy). You will need someone to drive you home mid to late afternoon on the day of the procedure.
You will feel no pain during this 30-45 minute procedure, and you will sleep comfortably during this time. Intravenous sedation (fentanyl and versed) is used. After the procedure patients may experience a crampy pain like heavy menstrual cramps. This can last several hours and is significantly improved by the following morning. Patients are discharged home on the day of the procedure. Patients are given a prescription for the following four medications upon discharge:
The recovery period is usually 3-4 days, although I suggest patients take 1 week off from work if possible. The only restrictions after the procedure are:
If you are tolerating taking liquids by mouth, exhibit no bleeding from the point of entry in the groin, and the oral pain medicine is adequate in controlling the discomfort, you can go home. You will be discharged on an anti-inflammatory (like motrin) which you need to take for 5 days and a pain pill which is taken only as needed. The oxycodone (narcotic for pain) tends to cause constipation, so use a laxative if this occurs. The discomfort of constipation can add to the expected post-procedural discomfort. You can resume your normal light activities as you feel able which should be within 48-72 hours after the procedure. Don’t overdo it, and use pain/discomfort as your guide. Eat healthy foods and drink plenty of fluids. Boxer shorts are recommended over briefs (less irritating). Heating pads can be helpful for the discomfort. No aspirin or aspirin-like products should be used during the 5 days on the prescribed medications. Should you have any questions, day or night there is always a physician (Interventional Radiologist) on call to help you.