1Dr Bhavna Pitrola

1Imperial college Healthcare NHS Trust

Introduction:

Uterine artery embolization for the treatment of symptomatic fibroids has become a key option for female patients and also adenomyosis. This minimally invasive procedure has a short recovery period with a high success rate for symptom relief, namely heavy menstrual blood loss, passage of large clots and pressure effects exerted on the urinary bladder. Patient can experience significant pain and management protocols with respect to analgesia are highly variable and centre-dependent.

Material(s) and Method(s):

The aim of the educational poster is to demonstrate spectrum of options for pain management in uterine artery embolisation for symptomatic fibroids.

Conclusion(s):

Invasive pain management include hypogastric nerve block. In this educational review we will describe the technique for hypogastric nerve block as well as potential pitfalls.  Pharmacological include pre, peri and post procedural medications. Paracetamol, NSIAD and an opioids are used most frequently and can be commenced pre, peri and post procedure. We will also discuss the appropriate personalised pathways dependant on type, size and burden of fibroid.