Patient Story Robotic Uterine Fibroid Embolization with Magellan
Ivana I love to walk. It really feels great. I'm a teacher. Sometimes I work with the preschoolers or first grade, and you want to kind of be on their level, when you're sitting down. So I wasn't able to sit down a lot of times. And I noticed a lot of bloating. My body just wasn't functioning the way that it normally was. Last year the doctor noticed that I had fibroids that were the size of lemons. I was in pain a lot. I couldn't wear anything that buttoned. It literally looked like I was nine months pregnant. I was embarrassed. I sought.
Medical advice from my OBGYN about other options other than a hysterectomy. And he referred me to Dr. Bagla. Dr. Bagla Ivana, when she sought us out to have uterine fibroid embolization and it was performed robotically, she was ecstatic and knew that she was undergoing a procedure that would offer her a chance to really change her life. With traditional surgery, such as hysterectomy or myomectomy, there is an open incision, and most women are not ecstatic about having a large incision in the lower part of their abdomen, the scar, the potential.
For bleeding, or infections. With fibroid embolization as a whole, that procedure can be performed minimally invasively on an outpatient basis sometimes, and just through a simple needle hole. What's unique about the Magellan System is its ability to get to both right and left uterine artery, which is critical for the procedure. It offers support for our microcatheter to then deliver the embolic material right into the correct place within the uterus. Ivana The puncture that he made with the Magellan Robotics System, literally it was a little bandaid. And I remember, I had trouble finding where the incision was. Now I'm breathing.
Uterine Fibroids Uterine Fibroids Treatment
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Dr. Paul MacKoul MD Makes Minimally Invasive Fibroid Removal Possible Helenes Story
I have been suffering from fibroids and endometriosis for over 20 years, and I had very intense pain, back problems, lower stomach problems, headaches from being so anemic. And it controlled my life. I think my first procedure was probably '95. And so since '95, I've been going through different procedures with different doctors, and nothing worked. I would do the surgery, and I would be fine for a month or two. And then I would say the longest I've ever been OK was for three months, and then bam here it comes again.
One of the doctors that I went into, he told me that the best advice that he could give me was to just go ahead and have a hysterectomy. And then he started laughing and said that that was his best advice for the day. And then I told him, thanks, but no thanks. And I walked out. I had a cyst rupture on my right ovary. And I ended up in the emergency room where I had to do surgeries to remove my appendix, because it kind of fused my appendix and my fallopian tube together.
After I got out of that surgery, my GYN at the time, she told me, I want you to go and see Dr. MacKoul. She said, this is the only doctor the only doctor that I want you to see. I went in to see Dr. MacKoul. He was pleasant, and he took the time out to explain to me what was going on and do all his little drawings. Dr. MacKoul recommended a LAAM myomectomy, because I wanted to retain my uterus. He told me if I had any questions just to call him,.
And he would explain anything that I didn't quite understand. Then he actually came and sat with me before I actually was taken in for the surgery. And he went over again what we're going to be doing, and then he told my family to just trust him. I was in good hands. I did not come across a specialist until I actually met Dr. MacKoul. Not only did he tell me what my problem was, not only did he tell me what mistakes had been done with my surgeries prior.
That caused my endometriosis to get worse but he fixed the problem. I haven't had any pain no back problems, no stomach problems, no headaches. I finally decided it was time for me to do what I wanted to do. Three months later, my dad had asked me, would I go with him to Africa. And I told him, sure, and so we went to Africa for a month. This was something that I would not have done prior to having the surgery. The energy that I didn't feel I had before to be able to do.
My master's, now I'm working on my master's. I have the energy where I'm doing my master's, working, and also helping my niece with her homework, and now having to travel with her to go to her different events. I wish I had met Dr. MacKoul before. I wish I had heard about him before I went through all those other procedures. But looking back, with everything that I went through, I'm always telling other people about Dr. MacKoul. He is a true specialist. He is the only specialist I would recommend.
How Are Fibroids Diagnosed and Treated
Text on screen Fertility Authority. Your Most Trusted Source Ask the Experts How are fibroids diagnosed and treated Dr. Jenna McCarthy, South Florida Institute for Reproductive Medicine Most of the time, fibroids are initially diagnosed on ultrasound. And then they can be definitively diagnosed from a fertility standpoint by either a saline infusion sonogram, or an HSG. If the fibroid is well away from the cavity, and it's not changing the shape of the cavity at all, and it's not causing you any other symptoms, there's no reason you need to have it taken out.
So, doctors typically will recommend that you have the fibroid taken out if it's changing the shape of the cavity, or if it's causing some of the other symptoms. Fibroids are typically removed one of two ways. You can either have them removed by having a surgery, either laparoscopically or an open surgery where they make an incision in the belly, and have the fibroids removed. Alternatively, fibroids that are completely within the cavity can sometimes be removed vaginally. It depends on where the fibroid is. So, let's start with a large fibroid that's large enough that it's changing the shape of the cavity.
That type of fibroid might be removed laparoscopically, which is a couple of small incisions on the belly, nothing big. The procedure is usually performed as an outpatient procedure, which means that you can go home the same day, sleep in your own bed, take your pain medicines yourself, instead of having to be in the hospital. The healing time from that is typically two to six weeks, depending on the woman and how active she is. And then we usually ask you to wait three months before trying to get pregnant.
Some doctors will err on the side of caution and say as much as six months before trying to get pregnant. And then, typically, if the fibroid that was removed was large enough that we actually went all the way through the wall of the uterus to take it out, we'll recommend a csection for delivery, to help prevent the chance that the scar that's left in its place doesn't pop open during labor. The other way to remove fibroids is hysteroscopically, or vaginally. Those are fibroids that are completely within the cavity.
So, basically, they can put a little camera inside the uterus and look around you can see the whole fibroid. Those, the recovery time is even faster. The surgery itself, again, is outpatient. You go home the same day. The pain is much, much less associated with it. Most women are back to work within a week to two weeks. Some women don't even need that much time. And we usually don't ask you to wait more than one normal period before you try and get pregnant. And neither of the two surgeries make it so that you can or cannot have fertility treatments.
Some gynecologists are extremely skilled at removing fibroids. Other gynecologists prefer to refer those patients to either a reproductive endocrinologist or a minimally invasive surgeon. The advantage to doing that is most REs and minimally invasive surgeons are trained in doing laparoscopic myomectomies. The difference between a laparoscopic myomectomy and an abdominal myomectomy is the recovery time. With a laparoscopic, most women, really, are up and around and doing for themselves in about two weeks. It may be six weeks before they feel 100 percent, but they're usually at 80 percent or better by two weeks.
Embosphere Microspheres from Merit Medical the most clinically studied spherical embolic available. Made from a proprietary formulation of an acrylic copolymer crosslinked with gelatin and indicated for the embolization of symptomatic uterine fibroids, AVMs, and hypervascular tumors. No other spherical embolic has as much clinical evidence supporting its effectiveness. Embosphere Microspheres predictably occlude the vasculature according to the size of the embolic. This allows the interventional radiologists to embolize accurately at the desired level of occlusion. The results from the fibroid registry, published in obstetrics and gynecology, demonstrate high physician confidence in.
Embosphere Microspheres with interventional radiologist choosing Embosphere Microspheres in 73 percent of cases. Independent physician studies published in peerreviewed journals repeatedly demonstrate the superior performance of Embosphere Microspheres for uterine fibroids over other spherical embolics. A landmark randomized controlled trial of Embosphere Microspheres versus spherical PVA reported that 92.3 percent of patients had 100 percent infarction of all of their fibroids. Embosphere Microspheres from Merit Medical. No other embolic has as much clinical data supporting excellent clinical outcomes. Please contact your local Merit sales representative to arrange for trial, or call Merit customer service for more information.
Uterine Fibroid Embolization
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