Women's Health (Uterine Fibroids)
Miami Vascular Specialists (MVS) understand that women have unique cardiac and vascular needs. MVS offers comprehensive treatment options for many women's health issues including uterine fibroid embolization, treatment of pelvic congestion syndrome, fallopian tube blockages and treatment of varicose and spider veins.
Uterine fibroids are noncancerous growths in the uterine wall which affect up to half of women over thirty-five years of age and can cause heavy menstrual bleeding and pain. Chronic pelvic pain may be caused by varicose veins in the pelvis and occurs in one in eight women from twenty to fifty years of age. Fallopian tube blockages may affect fertility. Treatment of varicose and spider veins in the legs is not just a cosmetic issue; varicose veins can cause pain, swelling and blood clots.
The MVS team has established a women's health treatment program to provide effective and less invasive techniques to treat these conditions in most patients providing excellent results with minimal recovery times. Our women's health services are internationally recognized as a center of excellence. MVS physicians participate in advanced training of other physicians. The MVS fellowship program is one of the best in the country and positions in the program are highly sought after. Our active participation in research allows MVS physicians the opportunity to advance the scope and effectiveness of vascular procedures and offer the most effective treatments to our patients.
Our outcomes and patient satisfaction are superior due to our commitment to deliver the highest quality of individualized treatment and compassion. We make every effort to ensure comfort and to control pain. Our patients receive frequent follow up phone calls after discharge to answer questions and provide guidance when needed.
Uterine Fibroid Embolization (UFE)
If you have uterine fibroids, you may be experiencing excessive bleeding due to the size or number of fibroids, which are tumors or lumps of muscle cells and other tissue in the uterine wall. Other symptoms may include pelvic fullness, urinary frequency, bloating, or lower back pain.
Uterine fibroid embolization (UFE) has revolutionized the management of uterine fibroids. For the procedure, a catheter is threaded through the groin into the uterus. Microscopic spheres are injected into the fibroid, depriving it of its blood supply. More than ninety percent of patients experience an almost immediate end to excessive bleeding. Patients also experience a decrease in the size of fibroids within three to six months after the procedure. MVS physicians have been performing UFE for over twelve years and were among the first in the nation to participate in a National Institutes of Health multicenter trial. Our patients experience excellent success rates with minimal risk of complications.
To watch a video of an uterine fibroid embolization performed by our doctors click here.
Pelvic Congestion Syndrome
Evaluation of pelvic congestion syndrome begins by discussing the patient's symptoms with her OB/GYN to rule out other sources of pain or inflammation. Miami Vascular Specialists physicians conduct a thorough assessment and use of imaging techniques such as MRI, Ultrasound, and pelvic vein x-ray with a contrast dye to assess the extent and location of abnormal veins.
Fallopian Tube Recanalization
A fallopian tube occlusion may be blocked by an accumulation of mucus or debris forming a plug in the proximal portion of the tube. This may happen in one or both tubes and can resolve blockages for many of these women. These blockages may interfere with a woman's ability to become pregnant. Patients with a proximal occlusion may benefit from the fallopian tube recanalization procedure. The American Society for Reproductive Medicine has recommended that patients who have proximal tubal obstruction undergo this procedure prior to any other more invasive procedures. Contraindications to the procedure include active uterine bleeding, active pelvic infection, recent surgery and current pregnancy.
If the Fallopian tube occlusion is identified, a small guidewire is advanced through the tube to open the lumen of the tube. Contrast dye is injected after the tube is inserted to ensure the blockage has been cleared.
Patency can be restored in most cases restoring fertility in about one third of women. A small proportion of the patients experience re-blockage of fallopian tubes and may require a repeat procedure in about a year. The procedure is usually done under sedation to ensure our patient's comfort.
Miami vascular Specialists offer comprehensive non-invasive, minimally invasive and surgical options to treat a wide array of venous conditions.
Minimally invasive embolization techniques are often better treatment options than traditional surgical procedures because they can often be performed without general anesthesia, cause less discomfort and usually provide a faster recovery.