a

Uterine fibroid embolisation (UFE) procedures performed at Netcare hospitals

it's early morning at UCT private

academic hospital in Cape Town and 37

year old Margot Joseph is being prepped

for her upcoming uterine fibroid

embolization procedure this is a

cutting-edge surgery which is

increasingly being used in round the

world to treat women with uterine

fibroids radiologists dr. Gary sad woods

specializes in this treatment he offers

the procedure at UCT private academic

hospital in Cape Town as well as Netcare

Park Lane and net care links filled

hospitals in Johannesburg

dr. sad Watts arrives to put Margo at

ease

this is much shorter but we don't expect

after antibiotics Margo is a pediatric

nurse and has been part of medical

procedures many times before just not as

the patient right says the procedure

itself is about an hour you'll be back

in the wood about an hour and a half so

I think you're ready to change into my

scrubs the next time singer be all in

green

in theater

dr. services team gets ready so farmers

at the line growth of the muscle the

uterus it's the muscle and the fibrous

soft tissue of the uterus that overgrows

it's a benign tumor it's not cancer

doesn't become a cancer and very very

common fibroids are very common

occurring in some twenty to forty

percent of women and of those about 40

percent require treatment in Margo's

case one of her fibroids had grown to

nine centimeters in diameter the size of

a large grapefruit or small melon and

was causing her extreme discomfort and

severe bleeding she fears she'll never

be able to have children because of the

fibroids they can get very very big sort

of you know one ten centimeters in size

and when they grow the you just gets

bigger and bigger and then the the the

the poverty interacts with the

functional uterus circling cause

bleeding and pain and then it can cause

infertility bulk related symptoms

constipation and you know symptoms

fibroids contain a large number of blood

vessels and draw a great deal of blood

into them and they fall into the uterus

added to this they also stop the uterus

from clamping down to stop the bleeding

that occurs as part of a normal

menstrual cycle that's why women with

fibroids can bleed continuously so much

so that it can become life-threatening

some woman with this condition can get

by with pain medication and iron

supplements but many require further

treatment

traditionally large fibroids were cut

out of the uterine wall a procedure

known as a myomectomy this was done

either through open surgery in recent

years by laparoscopic or keyhole surgery

options were very limited for women who

had massive firefights before until this

procedure really developed and gained

the traction and the science behind it

so those were now four sheep were

offered hysterectomy some of them didn't

even have families at that stage and and

lost their uterus unfortunately far too

many women still have hysterectomies

because they don't know that there is

another option available to them so

where fibroid embolization actually fits

in is that it's become an alternative

obviously the rights of patient those

procedures are absolutely equivalent in

benefit and yet far far less investment

in hysterectomy the procedure is done in

a special catheterization laboratory

large video screens allow the surgeon

and his team to map the arteries through

x-ray systems catheters and wires

inserted through a tiny incision in the

patient's leg and navigated to her

uterine artery got a syringe full of

little particles that have connected up

to a small tube that's that's coming out

of the leg at the tip of that Blanc

after it's actually neutral artery we

inject this very dense concentration of

thousands and thousands of microbeads

and this massive number of tiny little

microscopic beads goes into the small

threes that supply the fine points and

they are in that's way the our blood

supply is is diminished the plastic

beads are just the right size to block

the arteries to all fibroids anywhere in

the uterus cutting off their nutrient

supply which then kills them

within minutes the images of the

convoluted multiple fibroid arteries

on-screen begin to disappear

it's known as a pruned tree the results

are almost instantaneous I'm very happy

I guess we're just gonna do should show

the uterine arteries still supplies but

this is much reduced flow inside of it

we are finished

drifting how are you feeling the white

is the room that has blown up inside to

leave the capital in a place so it

doesn't fall out and then round here

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it's two days later and we catch up with

Marga before she leaves the hospital to

see how she's doing I'm doing very well

for the second day post-op and in two

weeks time I can go back to work

so it makes my life so much easier so

for me this was the best option this is

such a huge thing for me and I'm so

happy because when I found out I had

fibroids I thought that there was no

chance that there was no yard where

future pregnancies so the doctor gave me

really hope

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doing for this procedure give me that

options that is such a were such a

relief for me

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