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    Uterine Fibroid Embolization in India

    Uterine Fibroid Embolization (UFE) is a new approach to treat fibroids in the uterus. It can be a good option for patients who wish to preserve their uterus. Uterine Fibroid Embolization in India is safe as well as cost-effective.

    Video Courtesy: Merit Medical Systems

    Approximately nine out of 10 patients who undergo uterine fibroid embolization will experience significant improvement or their symptoms will go away completely.[1]ScienceDaily Minimally invasive, less expensive treatment for uterine fibroids underutilized “Approximately nine out of 10 patients who undergo uterine fibroid embolization will experience…” View in Article

    Uterine Fibroid Embolization Cost in India

    Eager to know how much does Uterine Fibroid Embolization cost in India? Check the cost comparison table below.

    UFE Cost Comparison (USD)

    USA India Savings
    $20,000 $5,000 75%
    *Prices may vary with the complexity of a case.

    The average cost of a Uterine Fibroid Embolization in the USA is $20,000. The same treatment in India is 75% cheaper while having high-quality.

    UFE is a highly effective and safe method to treat the symptoms of fibroid.[2]RSNA Management of Uterine Fibroids: A Focus on Uterine-sparing Interventional Techniques “…the patient’s anatomy; and treatment goals. UAE is a highly effective, safe, and cost-effective approach…” View in Article It has a success rate of 97%.[3]Times of India Now, a non-surgical cure for fibroids “And UAE has a 97 per cent success rate.” So how does this wonder process work? …” View in Article Also, the doctors who perform the UFE in India have vast experience in their field.

    MTC‘s network of hospitals can provide you UFE treatment at 5,000 USD. This package includes hospital stay, doctor’s fee, medicines, lab tests, and conveyance costs for all medical needs.

    Note: The UFE package price varies with the medical report of the patient.

    Getting Uterine Fibroid Embolization in India

    The American College of Obstetricians and Gynecologists approves UFE as a safe and effective non-surgical treatment for fibroids.[4]ACOG Practice Bulletin Alternatives to Hysterectomy in the Management of Leiomyomas. “Summary of Recommendations- Based on long- and short-term outcomes, uterine artery embolization is a safe and effective option…” View in Article

    There are several advantages of coming to India for UFE treatment. Some of them are:

    • UFE in India saves you up to 75% of the cost in the west.
    • Top-quality treatment with personalized care.
    • UFE procedures in India have a success rate of 95 – 97%
    • Our fibroid treatment centers in India are internationally certified.
    • MTC chosen UFE experts in India have over 25 years of experience.
    • Most of the fibroid specialists are overseas-trained and educated.
    • Reduced waiting time for the treatment.
    • Low cost of living in India:[5]Expatistan Cost of living in India compared to United States “Cost of living in India is 65% cheaper than in United States” View in Article Helps in a low-budget trip.
    • Currency exchange benefit: USD is stronger than the Indian rupee (INR).[6]XE.com XE Currency Converter “1 INR to USD = 0.0136675 US Dollars” View in Article
    • Ease of travel: Medical tourism destinations in India are well-connected to the rest of the world by air.
    • No language barrier: India is the 2nd largest English-speaking country in the world.[7]K International Which Countries Have the Most English Speakers? “Read on to find out which countries have the most English speakers…India is next on the list, with 125 million English speakers…” View in Article

    MTC can arrange for the best and most proficient hospital services for your fibroid treatment in India. We can connect you with the UFE experts and medical team at your convenient schedule.

    Uterine Fibroid Embolization Surgeons in India

    Dr. Chander Mohan

    • More than 26 years of practice.
    • MBBS, MD (Radiology), Neuro-intervention applications training, Oxford, UK.
    • Specialized in Radiotherapy, Interventional diagnostic.
    • Works at BLK hospital, JCI, NABL, NABH.
    Dr. Chander Mohan

    Dr. Pradeep Kumar Muley

    • More than 30 years of practice.
    • MBBS, MD (Radiology).
    • Over 20,000 interventional procedures, including 1050 UFEs.
    • Works at Fortis hospital, JCI, NABH.
    Dr. Pradeep Kumar Muley

    Dr. Suman Lal

    • More than 25 years of practice.
    • MBBS, MD (Obstetrics and Gynecology), Diploma in AGLS, Germany.
    • Specialized in gynae laparoscopic surgeries like hysterectomy, fibroid treatment, etc.
    • Works at Max hospital, ISO, JCI, NABH, NABL.
    Dr. Suman Lal

    Dr. Bijoy Kumar Nayak

    • More than 30 years of practice.
    • MBBS, MD (Obstetrics and Gynaecology), Residency program, Italy.
    • Specialized in Gynaecologist Laparoscopy and Robotic Surgery.
    • Works at Manipal hospital, ISO: 9001, NABL, NABH, AAHRPP.
    Dr. Bijoy Kumar Nayak

    What is Uterine Fibroid Embolization?

    UFE is a treatment for fibroid tumors of the uterus. It is not a surgery. The goal of UFE is to cut off the blood flow to fibroid blood vessels. Without the blood supply, the fibroids do not get oxygen. It will start to shrink and die.

    UFE has improved the quality of life for women for more than 20 years.[8]Radiology Today Interventional News: New Conception — Large Study Finds That UFE Preserves Fertility “This minimally invasive treatment has improved quality of life for women for more than 20 years,” he says…” View in Article

    What is Uterine Artery Embolization?

    Uterine artery embolization(UAE) helps to stop pelvic bleeding. The cause of such bleeding could be due to fibroids, cancerous tumors, or trauma, etc. Thus, the UAE can cure many conditions that lead to pelvic bleeding, not only fibroids. To be exact, UFE is a type of UAE.

    Alternative Names: Uterine Fibroid Embolization; UFE; UAE

    Uterine Fibroid Embolization for Large Fibroids

    The fibroid size does not matter in UFE. The larger the fibroid at baseline, the larger will be the residual fibroid volume. In most cases, the fibroid size is at least 60% reduced. This amount of shrinkage is enough for symptom control in more than 90% of patients.[9]JVIR Quality Improvement Guidelines for Uterine Artery Embolization for Symptomatic Leiomyomata “Outcome: Leiomyoma size reduction: 50-60%. Reduction of bulk symptoms- 88-92%, Patient satisfaction (would recommend UAE to a friend)-80-90%…” View in Article

    Uterine Fibroid Embolization and Fertility

    UFE is a less invasive treatment option for fibroids in the uterus. However, there is always a question of whether the UFE impacts childbirth. The recent findings on UFE show:

    • For patients who did not have fertility issues before UFE: It helps to preserve fertility.[10]Pubmed Fertility after uterine artery embolization for symptomatic multiple fibroids with no other infertility factors “Women without infertility factors showed an encouraging delivery rate after UAE. For women choosing UAE over abdominal myomectomy, childbearing may not be impaired…” View in Article
    • For patients who faced fertility issues before UFE: It helps to restore fertility.[11]Radiology Today Interventional News: New Conception — Large Study Finds That UFE Preserves Fertility “This study supports that UFE does not compromise future fertility and can, in fact, restore fertility in selected patients.”…” View in Article

    Uterine Fibroid Embolization and Pregnancy

    In most cases, women have a safe pregnancy after UFE. Still, there are chances that UFE may increase the risk of complications.[12]Springer Pregnancy and its Outcomes in Patients After Uterine Fibroid Embolization: A Systematic Review and Meta-Analysis “…a safe pregnancy after UAE is obviously possible resulting to a healthy and normal baby delivery…Rate of obstetrical complications was 25.4% (95% CI = 13–40.2%) among all finished pregnancies…” View in Article If you plan to have a baby, you need to discuss it with your doctor. He can help you review the potential risks related to the UFE treatment.

    86% of women who had the UFE were able to get pregnant.[13]Interventional News 86% of women who had UAE were able to get pregnant after, says small, retrospective analysis “Twenty-four (86%) of these 28 patients had at least one successful pregnancy after UAE, and 21% of the patients (six of the 28) had two successful pregnancies following the procedure…” View in Article

    Uterine Fibroid Embolization vs. Hysterectomy

    Talking with your doctor is essential to find which fibroid treatment option is right for you. However, you can be aware of the differences between the two main fibroid treatments here.

    Features UFE Hysterectomy
    Type of procedure Non-surgical Surgical
    Uterus condition Retained Partially or entirely removed.
    Anesthesia(14) Local General
    Hospital stay(15) One day Five days
    Full recovery 1 to 2 weeks 6 to 8 weeks
    Cost-effectiveness(15) Cheaper Expensive
    Blood loss during the treatment(14) Do not occur Occurs
    Pain level(15) Less High
    Major complications(15) 12% 20%
    Reintervention rate(16) 32% 4%
    Patient satisfaction(16) 90% 87%
    Healthy pregnancies(17) Possible Not possible

    Reference-[14]Radiology Info.org Uterine Fibroid Embolization “Uterine fibroid embolization, done under local anesthesia,…As compared to surgery, general anesthesia is not required and the recovery time is much shorter, with virtually no blood loss.” View in Article, [15]NEJM Uterine-Artery Embolization versus Surgery for Symptomatic Uterine Fibroids “The embolization group had a shorter median duration of hospitalization than the surgical group (1 day vs. 5 days, P<0.001)…Women in the surgical group had a significantly higher pain score at 24 hours…embolization was more cost-effective than surgery…there were 13 major adverse events in the embolization group (12%) and 10 in the surgical group (20%) (P=0.22)…” View in Article, [16]SAGE Journals Uterine Artery Embolization for Heavy Menstrual Bleeding “…Satisfaction scores were very high in both groups (UAE 90% and surgery 87%) at 5 years …the cumulative need for re-intervention at 5 years was significantly higher in the UAE group (32%) than the surgery group (4%)…” View in Article, [17]Royal College of Obstetricians and Gynaecologists Clinical Recommendations on the use of UAE in the management of fibroids “In women who wish to retain their fertility, a hysterectomy is clearly contraindicated…successful pregnancy is certainly possible after UAE…” View in Article

    If you are young and hoping to have children, a hysterectomy might not be the right choice for your fibroid treatment. A hysterectomy ends the chance of getting pregnant. At the same time, a minimally invasive treatment can keep your uterus intact.

    Uterus-sparing Treatment Options for Uterine Fibroids

    You must select a treatment based upon your fibroid-related symptoms.

    Who Qualifies for the Uterus-sparing Treatments?

    Parameters Drug Therapy Endometrial Ablations Myomectomy UFE
    Heavy menstrual bleeding ✔ ✔ ✔ ✔
    Pelvic pressure and pain ✔ ✔ ✔ ✔
    Fibroid size-related symptoms ❌ ❌ ✔ ✔
    Chances of fibroid regrowth ✔ ✔ ✔ ❌
    Plan for future pregnancies ✔ ❌ ✔ ✔
    Preserve the uterus ✔ ✔ ✔ ✔
    Ref: Patient education: Uterine fibroids.[18]UpToDate Patient education: Uterine fibroids (Beyond the Basics) “…NSAIDs…can help reduce menstrual cramps and decrease menstrual flow…Hormonal birth control…reduce bleeding, cramps, and pain during your menstrual period… do not affect your chances of becoming pregnant… Endometrial ablation destroys the lining of the uterus…can help to decrease heavy menstrual bleeding caused by fibroids… but pregnancy is not recommended after treatment and often not possible…Myomectomy can reduce both bleeding and size related symptoms … fibroids will come back after myomectomy… If you are having trouble getting pregnant and fibroids could be the cause, myomectomy is the standard surgical option…UAE decreases other fibroid symptoms including heavy menstrual bleeding… it is possible to become pregnant…” View in Article

    Comparison of Various Uterine-sparing Treatments

    Treatment Option Invasiveness Cost in USD
    Shrinking fibroids by hormonal birth control medicines, or NSAIDs
    Prescription Drug Therapy NA $240-$6,000 (Per year)
    Burn off the uterine lining using a particular instrument.
    Endometrial Ablations Minimally Invasive $6,000-$10,000
    Surgical removal of fibroids alone.
    Myomectomy Surgical Procedure $15,000
    Shrinking fibroids by cutting off blood supply to them.
    UFE Minimally Invasive $20,000

    Advantages of Uterine Fibroid Embolization

    The benefits of UFE include:[19]Am Fam Physician Uterine Fibroid Embolization “Advantages of UFE…virtually no blood loss…General anesthesia and surgical incisions are avoided. Recovery is weeks shorter…All fibroids are treated at once…UFE recurrence rates appear to be lower…” View in Article

    • Less invasive, non-surgical option.
    • It requires a small skin cut in the skin. Hence, no blood loss.
    • No general anesthesia.
    • It treats multiple fibroids at once.
    • Fast recovery.
    • Fibroids regrowth is rare.
    • The uterus is intact.
    • A safe pregnancy after the UFE is possible.
    • It has a success rate of 97%.

    Uterine Fibroid Embolization Risks

    UFE is a safe and effective technique to treat uterine fibroids.[20]India Today Uterine Artery Embolisation “UAE is an effective way to treat symptoms caused by fibroids…Uterine artery embolization is generally safe…” View in Article However, any treatment that needs a catheter inside a blood vessel has a few risks. The risks of UFE could include:[21]Radiologyinfo.org Uterine Fibroid Embolization(UFE) “…catheter inside a blood vessel carries certain risks…damage to the blood vessel…infection…may have an allergic reaction to the x-ray contrast material…menopause occurs after uterine fibroid embolization…more commonly in women who are older than 45 years… need to have a hysterectomy… on the patient or future childbearing would be a concern…” View in Article

    • Damage to an artery or the uterus.
    • Possible Infection.
    • Menstrual periods may not return (more common above 45 years).
    • Allergic reaction to contrast dyes.
    • Some women may need a uterus removal in the future.
    • Problems with a future pregnancy may occur.

    Your doctor will take precautions to reduce these risks. The chance of any of these risks is less than one percent in the hands of an experienced doctor.[22]Radiologyinfo.org Uterine Fibroid Embolization(UFE) “When performed by an experienced interventional radiologist, the chance of any of these events occurring during uterine fibroid embolization is less than one percent.” View in Article

    Uterine Fibroid Embolization Procedure in India

    An interventional radiologist will be performing your UFE procedure in India. We will provide you with the profile of the specialist before you proceed with the treatment. Our case manager will take care of all your treatment needs while you are in India.

    Pre-treatment Tips for UFE Patients

    As the patient leads to the UFE procedure, she needs to follow some steps:

    • Quit smoking if you have the habit.
    • Tell your doctor if you plan to have a baby in the future.
    • List any allergies to anesthesia or contrast materials.
    • If you take blood-thinning drugs, stop them.
    • Follow your doctor’s advice on when to stop eating and drinking.
    Labs/ Tests Required
    General Tests
    • X-ray, Ultrasound, MRI, Hysterosonography
    • Blood count and a pregnancy test
    • COVID-19
    For UFE
    • Physical Examination
    • Gynecological history
    • General medical history

    Uterine Fibroid Embolization Treatment Procedure

    Video Courtesy: Prof. Saim Yilmaz
    • You receive conscious sedation.
    • A local pain killer on the groin area numbs the skin.
    • In the skin over the groin, a small vent is made.
    • A catheter (a thin tube) is put into a blood vessel in the upper thigh.
    • The catheter is thread into the uterine artery.
    • Small particles are passed through the catheter.
    • These particles stop the blood supply to the fibroid.
    • The catheter is removed, and pressure is applied to stop bleeding.
    • The small skin vent is covered with a dressing.
    • One skin cut is enough to reach both left and right arteries.
    • If needed, more than one fibroid can be treated.

    Treatment Itinerary

    • Procedure Time: 1 to 3 hours
    • Length of stay: 2 to 3 days in the hospital
    • Outside hospital: 1 to 2 weeks (International patients)

    Post-Treatment Experience

    One may need a hospital stay of one night. After the procedure, a UFE patient could experience:[23]Radiologyinfo.org Uterine Fibroid Embolization(UFE) “You may experience pelvic cramps…possibly mild nausea and low-grade fever as well. The cramps are most severe during the first 24 hours after the procedure and will improve…Relief of bulk-related symptoms usually takes two to three weeks to be noticeable…By six months, symptom improvement will stabilize..” View in Article

    • First 24 hours: Severe pelvic cramps, mild nausea, and low-grade fever.
    • 1 – 14 days: Pelvic cramps gradually decrease.
    • 2 – 3 weeks: Relief of bulk-related symptoms.
    • Six months: Relief of all symptoms.

    Uterine Fibroid Embolization Recovery

    Due to a small cut in the skin, there is no blood loss during the UFE. The recovery time is much short, although it varies with each case. The routine for a UFE patient could be:[24]MedlinePlus Uterine artery embolization – discharge “DO NOT drive for 24 hours…Move around slowly, only for brief periods… Avoid strenuous activity like housework, … for at least 2 days…return to your normal, light activities in 1 week. Most women need 1 to 2 weeks to recover after UAE before returning to work.” View in Article

    • First 24 hours: Rest well. Do not drive.
    • First two days: Move around slowly. Avoid tough activities.
    • 2 – 7 days: Return to light activities.
    • 7 – 14 days: Fully get back to a normal lifestyle.
    • At six months, you will need to take an MRI to check symptom improvement.

    Note: If symptoms continue, 25% of patients below 40 years have a risk of requiring further treatment. It could be a repeat UFE, myomectomy, or hysterectomy.[25]Royal College of Obstetricians and Gynaecologists Clinical Recommendations on the use of UAE in the management of fibroids “…they may require further treatment for recurrent symptoms. The younger they are, the more likely this is…Further treatment might include a repeat UFE, exploration of uterine cavity, myomectomy, or hysterectomy.” View in Article

    Uterine Fibroid Embolization Clinical Outcomes

    Source: Boston Scientific Research

    Medical Tourism in India

    Visa Requirements

    • You will need a passport and a visa to visit India.
    • Make sure your passport is valid for 180 days or six months.
    • A tourist visa would help to get the treatment in India.
    • The tourist visa would permit you to stay for up to 180 days.

    How to Reach

    • Indira Gandhi International Airport (DEL) is the International Airport in New Delhi.
    • Non-stop flights to New Delhi from the US is around 15 hours.
    • Our partner hospitals in.7 India offer free shuttle services between the airport, hotel, and hospital.

    Helpful Tips

    • Currency: Indian rupee, 1 USD = 73.18 INR
    • Language: Hindi and English
    • Time zone: GMT+5:30
    • Best time to visit: October to March

    MTC facilitates low-cost Uterine Fibroid Embolization treatment at various hospitals in India. We can help you find many other world-class destinations abroad for UFE treatment.

    FAQs

    • Do I need an MRI, or is an Ultrasound enough to diagnose fibroids?
    • Are most fibroid patients a candidate for UFE?
    • Do I have to remove my IUD (Intrauterine Device) before undergoing the UFE treatment?
    • Is blood transfusion required for the UFE procedure?
    • When can I go back to work after the UFE?
    • Is UFE covered under insurance?
    Do I need an MRI, or is an Ultrasound enough to diagnose fibroids?

    MRI helps in the accurate diagnosis of fibroids. However, if MRI is not possible, you can take an Ultrasound.

    Are most fibroid patients a candidate for UFE?

    Yes, most people who have symptomatic fibroids are candidates for UFE. The UFE can successfully treat fibroids of all sizes and types.

    Do I have to remove my IUD (Intrauterine Device) before undergoing the UFE treatment?

    If the IUD is for bleeding, it needs to be taken out before the UFE. If it is for birth control, you do not need to take it out.

    Is blood transfusion required for the UFE procedure?

    Blood transfusion is not required since there is no blood loss during the UFE.

    When can I go back to work after the UFE?

    Usually, women return to work in about 7 to 10 days. However, some women recover more quickly than others. It depends on an individual’s health condition.

    Is UFE covered under insurance?

    Yes, most insurance companies cover the UFE procedure. We can assist you in confirming your coverage for UFE.

    References

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