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Jun29
Uterine Artery Embolization Treatment Delhi - Interventional Radiology
Uterine Artery Embolisation (UAE) And Ablation

It is a minimally invasive treatment for uterine fibroids, noncancerous growths in the uterus. It uses a common femoral artery puncture. Super selective embolisation of Uterine arteries is done to block the fibroid blood vessels, starving the fibroids and causing them to shrink and die.

Why (Indications)?
Large fibroids with bulky uterus causing increased frequency of urine, pain , increased and heavy menstruation.
Adenomyosis
Uterine AVM
RPOC (retained products of conception)
Why Not (Contraindications)?
Avoid uterine artery embolization if you:

Are pregnant
Have possible pelvic cancer
Have an active, recent or chronic pelvic infection
Are allergic to contrast material containing iodine

What you are to do before procedure (Preparation)?
Book prior appointment if elective or get admission in causality if emergency
Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers) and previous records. An MRI or ultrasound of the prostate gland.
Urine test (urinalysis)
4-6 Hours fasting.
If you are on blood thinner like Aspirin inform during appointment.
One accompanying person
Need to sign a consent form for procedure

Approx. Stay in hospital?
We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 day.

Complications
Mild Pain (usually ends within a day or two). In some patients pain may last for few weeks.

Vaginal discharge.

Post-embolization syndrome — characterized by low-grade fever, pain, fatigue, nausea and vomiting — about 48 hours after the procedure and usually resolve on its own within a week.

Resume to work?
You can resume your work after 2-3 days if existing disease allows.

Results?
Symptoms such as heavy bleeding, urinary incontinence and abdominal enlargement are relieved in the first three months after treatment. These results appear to be comparable to that of myomectomy, in which the fibroids are surgically removed and the uterus repaired.
Your menstrual period may continue on its normal schedule. If you miss any periods, they will probably resume within a few months.
There is low risk of subtle ovarian damage which may make getting pregnant more difficult. Despite these risks, many women have had successful pregnancies after uterine artery embolization.


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Jun29
Prostatic artery embolisation (PAE), PAE Treatment in Delhi - Interventional Radiologist
Prostatic Artery Embolization (PAE)

What is it?
Prostatic artery embolization (PAE) is a minimally invasive treatment to improve lower urinary tract symptoms caused by benign prostatic hyperplasia (BPH). BPH is a non-cancerous enlargement of the prostate gland and is the most common benign tumor found in men.

The PAE procedure is performed by an interventional radiologist (IR), a doctor who uses X-rays and other advanced imaging to see inside the body and treat conditions without surgery.


Why (Indications)?
As the prostate enlarges, it may partly block the urethra, causing symptoms such as:

Urinary incontinence, which can range from some leaking to complete loss of bladder control
Irritative voiding symptoms
Increased urinary frequency, urgency, and pain upon urination
How do I know if PAE is right for me?
The PAE procedure is for candidates who are either ineligible or not interested in traditional surgery. An exam with an interventional radiologist can determine if you are a candidate for PAE. At this appointment, you may be asked how often you have urinary symptoms of BPH, how severe they are, and how much they affect your quality of life.

Why not (Contraindications)?
Patients are excluded from treatment if they have malignancy, renal insufficiency, bladder stones, a neurogenic bladder (a neurologic disorder that may affect bladder function), urethral stricture, an active urinary tract infection, or prostatitis.

What you are to do before procedure (Preparation)?
Book prior appointment if elective or get admission in causality if emergency
Lab investigation (*PT/INR, CBC, Serum Creatinine, Viral markers)and previous records.An MRI or ultrasound of the prostate gland.
Urine test (urinalysis)
In some cases, a PSA (prostate specific antigen) test is done to rule out prostate cancer.
4-6 Hours fasting.
If you are on blood thinner like Aspirin inform during appointment.
One accompanying person
Need to sign a consent form for procedure
What happens during PAE?
PAE is performed through a small catheter inserted by your interventional radiologist into the artery in your groin.
The interventional radiologist will then guide the catheter into the vessels that supply blood to your prostate.
An arteriogram (an X-ray in which dye is injected into the blood vessels) is done to map the blood vessels feeding your prostate.
The agent (glue/particles)is injected through the catheter and into the blood vessels that feed your prostate to reduce its blood supply.
The interventional radiologist will move the catheter in order to treat the other side of your prostate, repeating the steps above.
Following this procedure the prostate will begin to shrink, relieving and improving symptoms usually within days of the procedure.
Approx. Stay in hospital?
We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1 day.

Complications
Minor complications include dysuria (9%), urinary tract infection (7.6%), microscopic hematuria (5.6%), acute urinary retention (2.5%), and rectal bleeding (2.5%)

Resume to work?
You can resume your work after 1 day if existing disease allows.

Results?
Cumulative rates of clinical success are 80- 85%.


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