Fibroid Treatment Without Surgery in Bangalore – Causes, Symptoms & UFE Treatment
With Advanced Minimally Invasive Pinhole Precision Techniques
Fibroid Treatment Without Surgery in Bangalore with Dr. Rohit Madhurkar & Team
Understanding Uterine Fibroids: A New Era of Care
Uterine fibroids are very common and harmless growths that occur within or around the uterus during a woman’s reproductive years. Some fibroids can remain small, and not affect the woman at all. At the same time, some may cause symptoms such as excessive bleeding, pelvic pain, frequent urination, pain during sex and infertility in addition to reduced quality of life for the woman affected by fibroids. Before modern days, the only possible means to cure fibroids would be through surgery.
Currently, modern, highly effective alternatives to surgery for fibroids are available at a Bangalore clinic, using advanced technologies for precise, minimally invasive pinhole procedures. Without a doubt, the most reliable method for the procedure is uterine fibroid embolisation and ablation, performed by interventional radiologist experts for fibroids and adenomyosis.
Common Symptoms of Uterine Fibroids
In women who have uterine fibroids, the following could represent symptoms:
- Excessive or prolonged uterine bleeding
- Pelvic Pain or Pressure
- Frequent urination due to bladder compression
- Painful Sex
- Constipation or discomfort
- Lower back pain
- Enlarged or Distended Abdomen
- Difficulty in Conception or Miscarriages
Causes and Risk Factors of Uterine Fibroids
Although the cause of fibroids remains unclear, several factors have been identified that contribute to their development. One factor contributing to the development of fibroids is hormonal imbalance. These hormones include oestrogen and progesterone. Women who have a family history of fibroids tend to be prone to developing fibroids.
Other significant risk factors include obesity, lifestyle and dietary habits, early menarche, vitamin D deficiency, and environmental and genetic factors. Awareness about these risk factors would help in early diagnosis and intervention.
Types of Uterine Fibroids (Intramural, Subserosal, Submucosal & Pedunculated)
Fibroids are grouped depending on their position within the uterus. Intramural fibroids are those that grow on the walls of the uterus. They are the most common type of fibroids. Subserosal fibroids are on the outer wall of the uterus. Submucosal fibroids are on the inner lining of the uterus. They are responsible for causing bleeding pressure symptoms and infertility.
Pedunculated Fibroids – Pedunculated fibroids are those that grow from the uterus through a stalk and might cause the twisting of the fibroids and hence pain.
Difference between pedunculated subserosal fibroid – As a simple example pendunculated is like a mango hanging from a tree whereas sub serosal is a beehive which is board based attached completely to uterus.
Adenomyosis – This is not actually considered a type of fibroid. Still, it might be related, as the growth arises from the endometrium lining into the muscle wall of the uterus, causing excessive bleeding and painful contractions.
Types of Adenomyosis – Focal, diffuse & adenomyoma
Diagnosis and Fibroid Mapping Using Ultrasound & MRI
Fibroids can be diagnosed through both conventional and advanced imaging techniques. The traditional method includes a pelvic and transvaginal ultrasound scan. The advanced method includes dedicated MRI Fibroid scanning with Angio and venous phase, which helps determine the location, size, number, vascularity, blood supply to it and also rule out other possible conditions
A physical pelvic examination will help detect uterine enlargement, and fibroid mapping will also aid in managing the condition. Further blood workup is recommended for investigation of anaemia, if any, due to excessive uterine bleeding or any other cause specific tests.
Treatment Options for Fibroids Without Surgery
It depends from patient to patient based on symptoms, type of fibroids, age of the woman, and her plans of having more children. In mild cases, treatment can be done using medications. In others, advanced methods will be suggested based on symptoms.
One of the most widely accepted alternatives to surgery is known as Uterine Fibroid Embolisation (UFE). There are also interventional radiology procedures classified as fibroid and adenomyosis ablation methods. Another widely known alternative method is MRI-guided focused ultrasound (MRgFUS), which is non-invasive, not at PinHole.
Why Choose Fibroid Treatment Without Surgery Over Open Surgery?
There are many advantages to non-surgical techniques for treating fibroids compared to the traditional open-surgery approach. In non-surgical techniques, the process is performed entering into the fibroid blood supply via hand or leg region and stopping the blood flow to the fibroid, so there will be no cuts/stiches to the body and uterus is not removed. It reduces symptoms of heavy pleading, pain and the risk of infection.
The healing process is fast, with the women able to return home within 24 hours and resume their usual activities within a matter of days. The degree of bleeding in the non-surgical techniques is negligible when compared to surgery. The technology used in this treatment is very advance to travel to your fibroid via the blood vessels of our body.
Psychologically, retaining the uterus and its functions has a significant positive impact on a woman’s mental well-being. Many women report a noticeable reduction in sexual libido after surgery, whereas after Uterine Fibroid Embolization (UFE), sexual libido is generally preserved and may even improve, with patients often feeling healthier and lot younger.
As it’s an uterine-sparing, thus highly valued for women of childbearing age who may want to conceive in the future or avoid having an organ removed permanently.
Quality of life – Furthermore, these options provide a higher quality of life than surgical options, as they entail strict post-operative restrictions.
Myomectomy Versus Hysterectomy
Myomectomy
It is a surgical operation that entails the removal of fibroids, in addition to conserving the uterus. Myomectomy is ideal for women who wish to conceive in the future. Good for patient with fewer fibroids. The sole drawback of this surgical method is that fibroids sometimes regrow or all cannot be removed. Recovery from the procedure depends on whether one undergoes laparoscopic, robotic, or open surgery. UFE would be a better option in most patients.
Hysterectomy
Hysterectomy involves removal uterus along with fibroids together as a result of permanently removing the uterus. Hysterectomy takes a comparatively longer time to heal. In most cases, a hysterectomy is performed when facing very difficult situations. Due to the latest advancements in medical science related to preserving the uterus with UFE and ablation, hysterectomy now remains a last resort
UFE vs Myomectomy: Choosing the Best Fibroid Treatment
Uterine Fibroid Embolisation (UFE) is a minimally invasive Pinhole procedure performed by interventional radiologists under image guidance. Through a tiny puncture—usually at the wrist or groin—microscopic embolic particles are delivered into the arteries supplying the fibroids. By selectively blocking the blood supply, the fibroids gradually shrink, soften, and become inactive, leading to significant improvement in symptoms.
UFE is primarily suitable for most women , mainly with multiple fibroids, women searching for treatment without surgery for fibroids in Bangalore, or women who wish to preserve the uterus and avoid major surgery. As a uterus-preserving, pinhole procedure, UFE offers several advantages including no surgical cuts or stitches, minimal blood loss, shorter hospital stay, faster recovery, and excellent long-term symptom control when performed by an experienced interventional radiologist such as Dr. Rohit Madhurkar.
Myomectomy surgical procedure aimed at physically removing fibroids from the uterus. It is commonly performed laparoscopically and increasingly with robotic assistance. During myomectomy, an incision is made into the uterine wall, the fibroid is excised, and the uterus is sutured back. Smaller fibroids can be removed through laparoscopic ports, while larger fibroids often need to be fragmented within the abdominal cavity before removal, with meticulous care taken to prevent fragment spillage. This procedure involves direct cutting, suturing, and manipulation of the uterus, which may impact recovery time and uterine integrity.
Surgical Options (If Needed) Sometimes, surgery is also recommended. These include: Robotic myomectomy, Laparoscopy and hysteroscopy or Open myomectomy.
Importantly, while myomectomy removes visible fibroids, it does not treat the underlying tendency to form new fibroids, making recurrence possible. UFE, by targeting the fibroid blood supply throughout the uterus, treats both visible and microscopic fibroids, often resulting in lower recurrence rates.
UFE vs Myomectomy: Key Differences
Feature | UFE (Uterine Fibroid Embolisation) | Myomectomy |
|---|---|---|
Procedure type | Minimally invasive, pinhole | Surgical |
Performed by | Interventional Radiologist | Gynecologic Surgeon |
Skin incision | Tiny puncture (wrist/groin) | Multiple abdominal or uterine incisions |
Uterine cutting | No cutting of uterus | Uterus is cut and sutured |
Anesthesia | Local ± mild sedation | General anesthesia |
Blood loss | Minimal | Moderate to high |
Treatment of multiple fibroids | Treats all fibroids simultaneously | Removes selected fibroids only |
Risk of new fibroids | Lower | Higher |
Hospital stay | Same day or 1 night | 2–4 days |
Recovery time | 3–7 days | 3–6 weeks |
Scarring | None | Abdominal and uterine scars |
Impact on uterus | Preserved, not manipulated | Manipulated and sutured |
Sexual well-being | Usually preserved or improved | May be affected in some |
Return to work | Within a few days | Several weeks |
By fibroid number and size | Most can be treted – Expect pedunculated (usually subserosal) and very large overtly groin once. | Good for subserosal pedunculated and smaller fibroids |
Final Thought
The choice between UFE and myomectomy depends on fibroid type, symptoms, fertility plans, and personal preference. A detailed consultation with both a gynecologist and an experienced interventional radiologist ensures women receive the right treatment for the right indication, with the best balance of safety, effectiveness, and quality of life.
Recovery & Post-Treatment Care UFE
Recovery from this process usually occurs without complications. Gentle walking should be encouraged, while pain can be managed through medication. Most women return to their daily activities within a day or two. Follow-up scans can help monitor if any concerns are there, while staying hydrated and eating healthy foods can definitely aid healing. Recovery from fibroid treatment takes substantially less time than with the surgical approach.
If left untreated, fibroids may cause various conditions, like severe anaemia, pelvic pain, pressure on the bladder and bowels, painful intercourse, infertility, pregnancy-related complications, and reduced quality of life. But sometimes fibroids may develop quickly and cause necrosis and acute pelvic pain due to their rapid growth.
Benefits of Fibroid Treatment at PinHole IR Centre
Our centre offers the best fibroid treatments, thanks to experienced interventional radiologists Dr Rohit Madhurkar and team, the latest technologies, and customised procedures. Highly specialised fibroid centres like ours offer effective, minimally invasive, non-surgical, uterus-sparing fibroid treatments with pinhole precision, fast turnaround times, and high rates of success and patient satisfaction.
Frequently Asked Questions About Fibroid Treatment Without Surgery in Bangalore
Can fibroids be treated without surgery in Bangalore?
Yes, there are advanced treatment options such as UFE and ablation.
What is the price for a non-surgical fibroid treatment in Bangalore?
Depending on the nature of the fibroids, costs may vary however with best facilities, experienced interventional radiologist and advanced material the minimum cost may be rupees two lakh and above.
What is the best doctor for uterine fibroids in Bangalore?
An interventional radiologist with UFE skills would be the best choice for most patients, but not all.
Is UFE a safe procedure for removing fibroids?
UFE has been universally proven as safe and effective.
What are the chances of recurrence of fibroids when they are treated with UFE?
The risk of recurrence is very low, especially with UFE.
Are fibroids insured?
Many insurance companies have UFE covered.
Do Fibroids Cause Nausea?
When fibroids are large, they may put pressure on the digestive tract.
Are women able to conceive after they have undergone the treatment of fibroids? Many women have been able to conceive after undergoing treatment.
Can I get pregnant after UFE?
Yes you can, The FEMME trial supports that UFE is a reasonable fertility-preserving option for selected women, particularly those wishing to avoid surgery, while myomectomy remains a preferred option in women with strong immediate fertility goals and surgically favourable fibroids.
Best Interventional Radiologist for UFE Treatment in Bangalore
MBBS, MD (RADIODIAGNOSIS), FIR-FELLOWSHIP IN INTERVENTIONAL RADIOLOGY,SMC IMAGE-GUIDED TUMOR ABLATION TRAINING (SITAT)
Dr Rohit Madhurkar is a Consultant Head Interventional Radiologist in Bengaluru, performing cutting-edge intervention procedures for more than 12 years and has a remarkable track record of over 12000 minimally invasive pinhole procedures. He is the first Interventional Radiologist fellow to graduate from Karnataka.