Uterine Fibroid Embolization

UFE is performed by a team of physicians under the direction of Marc L. Friedman, MD, chief of Vascular and Interventional Radiology and director of the Uterine Fibroid Embolization Program.

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Fibroids are benign (not cancerous) masses of muscle tissue in the uterine wall. These growths can be very tiny or as large as a cantaloupe. In most cases, there is more than one fibroid. They are not associated with cancer, very rarely develop into cancer and do not increase the risk of uterine cancer.

Fibroids are also known by the names fibromyoma, leiomyoma, leiomyomata and myoma. They are named according to their position within the uterus: submucosal, intramural, and subserosal. A submucosal fibroid lies just under the inner lining of the uterus, the endometrium. Some of these fibroids grow on a stalk. These are referred to as "pedunculated." An intramural fibroid lies completely within the muscular wall of the uterus. A serosal or subserosal fibroid lies on the outer part of the uterus, just under the covering of the outside of the uterus, the serosa. Subserosal fibroids may also grow on a stalk and be called pedunculated.

Abnormal bleeding is usually caused by submucosal or intramural fibroids. Intramural and subserosal fibroids are the usual cause of pelvic pain, back pain, and the generalized pressure that many women experience, especially around their period.

Because fibroids can be very small, they are not always associated with symptoms. The most common symptoms from uterine fibroids are heavy or prolonged menstrual periods which can result in anemia, and pelvic pain and pressure.

Additional symptoms include:

• Pain in the back or legs as the fibroids press on nerves that supply the pelvis and legs
• Pain during sexual intercourse
• Bladder pressure leading to frequent urination and a constant urge to urinate
• Pressure on the bowel, leading to constipation and bloating
• Abnormally enlarged abdomen

It is estimated that 20 to 40 percent of women over the age of 35 have uterine fibroids. Though very common, most fibroids do not cause symptoms and do not require treatment.

African-American women are at a greater risk. Fifty percent may have fibroids of significant size.

Most women with fibroids begin to develop symptoms in their late 30s or 40s.

Fibroids often stop growing, or even shrink, after menopause.

The cause of fibroids is unknown. It is suspected that a combination of genetics and hormones may be responsible.

Studies have shown that patients who undergo UFE typically have shorter recovery times, return to work more quickly and have fewer complications after 30 days.

For more information, please call our UFE hotline at 310-423-8694 and press option 4.

The S. Mark Taper Foundation Imaging Center provides a full range of advanced imaging, both radiology and cardiology, as well as interventional radiology and interventional tumor (oncology) treatments to the greater Los Angeles area, including Beverly Hills, Encino, Mid-Cities, Sherman Oaks, Silver Lake, Studio City, Toluca Lake and West Hollywood.