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Steps to prepare for the catheterization of the uterus.. Magnetic resonance imaging of the pelvis and comprehensive medical examination by the gynecologist

Steps to prepare for the uterine catheterization:

Here are some of the steps to prepare for the catheterization of the uterus:

- A week before the procedure:

Schedule a consultation with your doctor: During the consultation, your doctor will discuss the procedure with you in detail, including the risks and benefits, and answer any questions you may have.

- Stop taking certain medications:

Your doctor may ask you to stop taking certain medications, such as blood thinners, aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs), at least a week before the procedure.

- Get a blood test:

You may need to get a blood test to check your blood count and other health parameters.

Arrange for transportation and childcare:

If you will be sedated for the procedure, you will need to arrange for someone to drive you home and stay with you overnight.

The day before the procedure:

- Do not eat or drink anything after midnight:

This is to prevent aspiration (inhalation of stomach contents) during the procedure.

- Shower and shave the area around the vagina:

This will help to reduce the risk of infection.

- Wear loose-fitting, comfortable clothing:

You will need to undress completely for the procedure, so wear something that you are comfortable in.

- Bring a sanitary napkin with you:

You may experience some light bleeding after the procedure.

On the day of the procedure:

Arrive at the hospital or clinic at the time instructed by your doctor:

- Check in with the admitting clerk:

They will give you a bracelet with your name and medical information.

- Change into a hospital gown:

You will be asked to remove your clothes and change into a hospital gown.

- Empty your bladder:

You will need to empty your bladder before the procedure.

-Start an intravenous (IV) line:

An IV line will be inserted into your arm to deliver medications and fluids during the procedure.

- Meet with the anesthesiologist:

The anesthesiologist will discuss the anesthesia options with you and administer the anesthesia.

During the procedure:

You will be positioned on a gynecological examination table.
A speculum will be inserted into your vagina to hold it open.
A catheter will be inserted through your cervix and into the uterus.
The doctor will use the catheter to inject contrast dye into the uterus.
X-ray images will be taken of the uterus.

After the procedure:

You will be moved to a recovery room for observation.
The IV line will be removed.
You may experience some cramping or light bleeding.
You will be instructed to avoid strenuous activity for a few days.
You will need to follow up with your doctor in a few days to discuss the results of the procedure.

Magnetic resonance imaging (MRI) of the pelvis:

An MRI of the pelvis may be ordered to visualize the uterus and ovaries in detail to assess for any abnormalities or conditions that may affect the catheterization procedure. The MRI uses a strong magnetic field and radio waves to create detailed images of the internal organs.

Comprehensive medical examination by the gynecologist:

A comprehensive medical examination by the gynecologist is essential to evaluate your overall health, identify any risk factors, and determine if you are a suitable candidate for catheterization of the uterus. The examination may include a pelvic exam, Pap smear, and other tests as deemed necessary by your doctor.

It is important to follow the instructions given to you by your doctor to ensure a safe and successful procedure.

Fibroids of the uterus .. Benign non-cancerous tumors grow in the wall of the uterine muscles

Fibroids of the uterus are benign (non-cancerous) tumors that grow in the wall of the uterine muscles, which from the beginning are benign and remain so.
Of the 1,000 women who attend the hospital for surgery due to problems thought to be caused by fibroids, only one woman has cervical cancer. The average age of these women is usually about 60 years, so if you have fibroids there is no need to worry On cancer. There is no evidence that fibroids become cancer.

The reasons for the emergence of fibroids of the uterus.. Excessive production of collagen, proteins and female hormones such as estrogen and progesterone

While not much is known about fibroids, we know about them:
Each fibromyalgia arises from an individual single cell that grows incorrectly as a result of genetic transformation and because of excessive production of large amounts of collagen and other proteins.
* There are environmental reasons to stimulate the growth of fibroids.
* Female hormones "estrogen and progesterone" are essential for the growth of fibroids. Fibroids are very sensitive to progesterone and grow strongly during menstruation when progesterone levels are higher. Fibroids therefore appear with puberty and shrink after menopause and peak between 25 and 30 years.
* Birth control pills and hormonal drugs do not usually cause the growth of fibroids, and pregnancy and childbirth reduce their risk.
* Special proteins secreted by the body 'growth factors' to stimulate the growth of fibroids and increase their supply in the blood.
* If you have a mother or sister infected with fibroids, the rate of infection increases.

The prevalence of uterine fibroids in women

In fact, fibroids are very common.
At age 35 we can find it in 50% of women, and at age 50 we can find it in 75% of women.

Diagnosis of uterine fibroids.. Magnetic resonance better than ultrasound

What is the best way to diagnose fibroids?
Fibroids are often diagnosed during medical examination, because fibroids give the uterus a larger and more irregular size.
If the diagnosis is questionable, an ultrasound scan may be useful for diagnosis, where ultrasound is fairly accurate to determine the size and position of fibroids within the uterine wall.
Locating the right location of fibroids sometimes is difficult because ultrasound can not detect small fibroids. Magnetic resonance imaging (MRI) is therefore the best test that limits the size, number and location of fibroids. The magnetic resonance imaging image is also used to see whether fibroids are present under the lining of the uterus or not, as it is useful to explain if there is abundant bleeding or that the ability to reproduce is a concern.
MRI is best in diagnosing fibroblasts of ultrasound.

Types of fibroids of the uterus .. Subcranial fibroids lead to excessive or intermittent bleeding and include uterine fibroids associated with the uterus

Fibroids arise from inside the wall of the uterine muscles.
Fibroblasts that grow and emerge outside the uterus are called fibroblasts under the serotonin layer and they press the organs surrounding the uterus, such as the bladder or rectal subserosal fibroids.
Fibroids that grow and protrude into the lining of the uterus are called fibroblasts. These tumors tend to be directly under the lining of the uterus, and can lead to excessive bleeding or submucosal fibroids.
Fibroids, which are often embedded in the middle of the uterine wall, are called fibroids in the intramural fibroids.
Some fibroids that are formed on uterine fibroids, called fibroids with a neck, can be under mucous or sub-serous in situ. Pedunculated Fibroids

Symptoms of uterine fibroids tumors of the uterus .. Increase the amount and abundance of menstrual bleeding and pain in the pelvis and change the shape of the uterine cavity and reduce fertility

Symptoms of uterine fibroids:
* Increase the amount and abundance of menstrual bleeding, and continue for longer.
Fibroids may cause pressure or pain in the pelvis. If the fibroids develop toward the back, pressure on the rectum can cause obstruction. You can also feel pressure or pain in the lower back or discomfort with sexual intercourse. If the uterus becomes large, it can see a marked tumor in the lower abdomen and may make the woman appear as pregnant.
* The uterus is located directly behind the bladder, if fibroids develop forward, it may press the bladder so that it can not be filled with urine and can feel the need to urinate repeatedly. Also, when you laugh, cough or sneeze, fibroids may press the bladder and make you control your urine.
Fibroids that alter the shape of the uterine cavity or inside the cavity reduce fertility by 70% and can also cause miscarriage. Removal of these fibroids improves fertility. Other types of fibroids, such as those that stand out or do not change the shape of the cavity, do not reduce fertility.

The role of pregnancy in the growth of fibroids.. Postpartum contraction

Does pregnancy cause fibroids to grow?
Pregnancy has an unpredictable effect on fibroids. Most fibroids do not increase in size during pregnancy. A study of pregnant women with fibroids found that 70% of them did not have an increase in the size of fibroids during pregnancy, and 30% of women with increased fibroids were found to be present before the third month. Fibroids often shrink after birth.

Therapeutic catheter tumor fibroid uterine.. Non - surgical technique to reduce fibroids without removing them by the interventional radiologist

Therapeutic Catheterization of the uterine fibroblast is a non-surgical technique that works to reduce fibroids without removing them.
The procedure is performed by an interventional radiologist. You will not need to be exposed to general anesthesia, but only give you sedatives to help you relax during the procedure. A local anesthetic needle is given at the top of the thigh and a thin, long tube (catheter) is inserted into the blood vessels that feed the uterus while the operation is monitored under X-rays, and then a special medical emulsion is pumped through the catheter to prevent the flow of blood.
The normal uterine muscles surrounding the fibroids provide better blood and are able to retain their adequacy of blood, nutrition and oxygen. Fibroids shrink gradually (such as dried plums) for three to six months after catheterization. Fibromyalgia symptoms are reduced, and multiple fibroids can be treated at the same session. Even large tumors can be treated in this way.

Preparing for the therapeutic catheterization of uterine fibroids.. Imaging of the uterus by magnetic resonance imaging for the overall assessment of the size, number and location of fibroids

You will need a comprehensive gynecologist check to make sure that fibroids are the actual cause of your symptoms. The uterus is then imaged by magnetic resonance imaging to assess the overall size, number and location of fibroids. If hemorrhage is the largest symptom, a live sample of the inner lining of the uterus can be examined to confirm the susceptibility of any other disease.

How to perform a therapeutic catheter for uterine fibroids.. Maintain the sterilization environment with monitoring heart rate, blood pressure, electrocardiogram, breathing and blood oxygen level

The operation is performed in the catheter section of the radiology department, where it maintains the sterilization environment with the monitoring of the heart rate, blood pressure, electrocardiogram, breathing and blood oxygen level during the operation lasting 60-90 minutes.
After giving the house a nuisance and local anesthesia to anesthetize the skin at the top of the thigh, the interventional radiologist will insert a thin "catheter" into the artery at the groin.
Using x-ray guidance, the catheter reaches the uterus, to inject the medical emulsion to block blood flow in the arteries, uterine fibroids, in most cases, the uterine arteries can be treated by the introduction of a single catheter. After completing the treatment, clean the catheter's position and insert.

After the therapeutic catheter for uterine fibroids.. Increased pelvic pain and vaginal discharge and improved bleeding during the first menstrual cycle following the operation

Most of the patients who have had the therapeutic catheter for the uterine fibroblast throughout the night remain in the hospital to monitor and control the pain. The patient may feel pelvic cramps for several days after the catheter is similar to the menstrual cycle, with a feeling of nausea and low fever as well, the cramps are more severe during the first 24 hours after the operation and improve quickly over the next few days. When the patient is discharged from the hospital the next day, she is provided with medication to treat the pain. Most patients will recover from the effect of the surgery within a week to two weeks after intrauterine fibroblast catheterization and are able to return to their normal activities.
It usually takes two to three months for fibroids to shrink enough so that symptoms related to size such as pain and pressure improve. It is also common for heavy bleeding to improve during the first menstrual cycle following the operation. Most women are able to return to their work within a week to two weeks following uterine fibroblast catheterization, but some patients sometimes take longer to recover.
In some women, the temperature may increase, pelvic pain and vaginal secretion increase following the catheterization. However, these symptoms can last for days or even weeks and cause concern because of the possibility of bacterial infection in the uterus. If symptoms worsen over time, detection and evaluation of infection is important.

Catheterization and multiple fibroids of the uterus.. Fibroblastectomy removes only visible fibroids on the surface of the uterus

Does the catheter benefit if the patient has many fibroids?
The fibroblast catheterization is an excellent treatment for multiple fibroids. All fibroids are treated simultaneously during catheterization. In comparison, fibroblastectomy removes only visible fibroids on the surface of the uterus. For fibroids not visible on the surface or on the surface Posterior uterus may be difficult to remove during surgery.

Future fertility after bridging uterine fibroids.. Perform the procedure without complications on the mother or fetus

The question of whether uterine fibroids block reduces fertility is an unresolved question, although a large number of healthy and healthy pregnancies have been documented in women who have undergone the procedure without complications for the mother or fetus, Follow the catheter carefully and follow. We know that women who have had uterine fibroids blocked because of postpartum haemorrhage have been able to have more children born safely. On the other hand, the fibroids dam is somewhat different. Fibroids are an integral part of the uterine walls. The remaining fabric may be somewhat diluted. Women are usually advised to avoid pregnancy during the first year after catheterization.

Effectiveness and safety of uterine fibroids.. Complete contraction of fibroids and full effect of catheterization

More women will notice an improvement in the symptoms of fibroids within six weeks after catheterization, but it takes a few months for total fibroids to shrink completely and the full effect of catheterization is clarified. After a period of three to six months from the catheterization, the uterus and fibroids will shrink by about 40% of the original size.
90% of women who develop symptoms related to the size of their fibroids and who have suffered heavy bleeding from their fibroids will have significant improvement and are satisfied with the results. In contrast, 10% of women who have a catheter will continue to have irritating symptoms and this usually requires further treatment.

Advantages of bridging uterine fibroids.. Less time of hysterectomy and treatment of all fibroids

The process of bridging uterine fibroids has several advantages over other treatments for uterine fibroids:
* It does not guarantee loss of blood and there is no stitch or a surgical cut, or scar on the abdomen, or general anesthesia, or long hospital stay, there is no need to burn or soften the lining of the uterus.
* The process of bridging uterine fibroids requires much less time than hysterectomy.
* This method works to treat all fibroids at the same time, regardless of size or position in the uterus.
* When compared to the surgical procedure, the complications are 50% less than the surgical procedure.

Defects of uterine fibroids.. The possibility of cancer, infection or infection in the uterus

The uterine fibroids should not be blocked if:
* If the lady did not complain of any symptoms.
* When there is a possibility of cancer of the uterus.
* If there is infection or infection in the uterus.
* During pregnancy.

The possibility of the return of fibroids after the catheterization

Published reports of the catheterization operation were published in 1994.
In the years that followed, there were no relapses recorded in the patients who performed the procedure. By comparison, patients who had had fibroids removed up to 35% would experience a return of fibroids.

Complications dam uterine fibroids.. Wound injury due to low blood supply

Complications are expected to occur in less than 3% of patients. Potential acute complications include infection or uterine injury due to low blood supply, fortunately, very rare hysterectomy to treat any of these complications occurs less than 1% of patients.
In contrast, some pelvic organs may have potential injuries but they do not appear, and the chance of other significant complications is less than 1%.

Hysterectomy due to fibroids.. Risk of infection, injury of other organs, complications of anesthesia and blood loss

It is believed that hysterectomy due to fibroids is a way to resort to them as a last resort. Ectopic hysterectomy is a major operation and carries the risk of infection, injury to other organs, complications of anesthesia and blood loss. Education from hysterectomy requires a period of three to six weeks. It is therefore best to avoid surgery as much as possible.
When fibroids are removed, all surgical risks remain the same, and the likelihood of future surgery can be as high as 25%.
For women who complain of fibroids requiring treatment and who wish to maintain their fertility, avoid surgical risks and reduce relapse rates. In addition to women with multiple or large fibroids, the dam may be the best option.