Uterine fibroid embolisation

Fibroids are very common benign growths of the muscle of the uterus. They can cause heavy periods, pain or a feeling of pelvic heaviness. Embolisation blocks the small arteries feeding the fibroids: deprived of blood, they shrink and symptoms ease, while the healthy uterus continues to receive blood. The procedure is performed in the catheterisation laboratory under local anaesthesia, combined with pain relief. A thin catheter is introduced through the groin or wrist up to the uterine arteries, then very fine particles are injected. There is no incision and the uterus is preserved. Embolisation is an alternative to hysterectomy or myomectomy, decided together with the gynaecologist. It is particularly suited to women who wish to keep their uterus and avoid an operation. If a pregnancy is planned, myomectomy is often preferred: this is discussed before the procedure. At Clinique Pasteur Tunis, embolisation is performed in a latest-generation catheterisation laboratory, with appropriate pain management during the hospital stay.