Myomas are benign neoplasms of the uterus. Their origin is the smooth muscle of the uterine wall (leiomyomas), which occur in about 20-25% of all women and in turn cause chronic symptoms in about 5-10% of cases. Myomas can reach a size between a few cm up to 15cm and also the number of myomas in the uterus can vary.

You will be admitted to our ward on the morning of the intervention about which you have already been informed in advance with the attending physician. The actual intervention takes place in the radiology department. First, the puncture site in the right groin is sterilely covered and anesthetized before the intervention. Using a thin needle, the usually right inguinal artery is then punctured and a small-bore catheter is advanced through it into the iliac artery. Embolization is then performed, i.e. vessels are closed and the myoma is thus separated from the blood supply. The entire procedure is monitored by X-ray fluoroscopy. After successful embolization, the catheter and the sheath are removed from the groin, and after a short impression of the artery, a firm bandage (pressure bandage) is applied. This bandage remains in place until the following morning. During the entire procedure, an analgesic as well as fluid is already infused via a venous access route. In particular, pain therapy is continued after the procedure.

Aftercare can be divided into two phases. In the first phase, immediately after myoma treatment, the focus is on pain therapy and anti-inflammatory measures in particular. For this purpose, you will be cared for on our ward. As a rule, patients can be discharged after two to three days. In the second phase, outpatient follow-up care will follow. In the preparatory consultation, you have already been informed about "normal" complaints after myoma therapy, such as pressure pain, menstrual bleeding or discharge. A slight increase in temperature can also be part of the so-called post embolization syndrome. As a rule, the complaints subside after one to two weeks. The medications prescribed after discharge from inpatient treatment should be taken for the recommended period of time. Further control of the treated fibroids can be performed by your attending gynecologist by means of ultrasound, should the actual symptoms improve. If there is no improvement or if new complaints arise, another MRI should be performed.

• Acute infection or chronic inflammatory reaction in the pelvic region should not be present.
• In the presence of a malignant tumor of the uterus, embolization alone is not possible.
• Embolization of fibroids should not be performed if pelvic radiation treatment (percutaneous radiotherapy or afterloading therapy) has been performed previously.

This question should be discussed in advance together with the patient, the referring physician and the radiologist. After clarification of the indication, an appointment can then be made. Pre-registration is mandatory for organizational reasons and because of the necessary detailed patient information. Likewise, all medical documents/doctors' letters should be brought/provided in advance.