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Society of Interventional Radiology Applauds Report's Uterine Fibroid Embolization Recommendations
Date:9/4/2008

rectory specifically identifies interventional radiologists with expertise in this area," he added. Interventional radiologists often use imaging tests such as MRI to help determine whether a woman is a candidate for UFE. Sometimes additional important information about the pelvic organs is found that helps the woman choose her best treatment option.

Uterine fibroids are benign tumors that can cause prolonged, heavy menstrual bleeding that can be severe enough to cause anemia or require transfusion; disabling pelvic pain and pressure; urinary frequency; pain during intercourse; and miscarriage. Twenty to 40 percent of women age 35 and older have uterine fibroids of a significant size; African-American women are at a higher risk for fibroids (as many as 50 percent have fibroids of a significant size).

Pioneered and performed by interventional radiologists, UFE blocks tiny blood vessels that feed fibroids, causing the tumor to die and symptoms to subside. An interventional radiologist uses imaging to guide a thin catheter to the uterine artery to treat the source of the disease internally, avoiding open surgery. The procedure offers less risk, less pain and a shorter recovery time compared to open surgery.

The ACOG practice bulletin notes, "Based on long- and short-term outcomes, uterine artery embolization (UAE) is a safe and effective option for appropriately selected women who wish to retain their uteri." It compares UAE, also referred to as UFE, to other treatment methods and favorably points out the large amount of peer-reviewed literature illustrating its effectiveness. It indicates that women who want to choose UFE "should have a thorough evaluation with an obstetrician-gynecologist to help facilitate optimal collaboration with the interventional radiologist and to ensure the appropriateness of therapy, taking into account the reproductive wishes of the patient."

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