LAST MEDICALLY REVIEWED:
May 2026 — Dr. Shaileshkumar Garge
MBBS, MD (Mumbai), DNB (Delhi), FRCR (UK), FNVIR (CMC Vellore), EBIR (Spain)
Director & Chief Vascular Physician | Sr Consultant Vascular Interventional Radiologist
Citi Vascular Hospital, KPHB Colony, Road No. 1, Hyderabad, Telangana 500072
Uterine Artery Embolisation (UAE), also called Uterine Fibroid Embolization (UFE), is a minimally invasive, non-surgical procedure that shrinks uterine fibroids by blocking their blood supply. The procedure takes 45–90 minutes, requires no general anaesthesia, and most patients are discharged same day. Success rate: 85–90%. Cost in Hyderabad: ₹1,20,000–₹3,50,000.
At Citi Vascular Hospital, KPHB, Hyderabad, UAE is performed by Dr. Shaileshkumar Garge — a UK-FRCR and FNVIR (CMC Vellore) certified Interventional Radiologist with 12+ years of experience and 800+ UAE procedures performed.
Quick Answer: What is UAE / UFE?
UAE is the best option for women with fibroids who want to avoid surgery, preserve the uterus, and return to normal life within 1–2 weeks.
|
Procedure Type |
Catheter based interventional radiology procedure |
|
Purpose |
Shrink uterine fibroids without surgery |
|
Duration |
45–90 minutes |
|
Anaesthesia |
Local anaesthesia + mild sedation (not general) |
|
Hospital Stay |
Same day or overnight (24 hours) |
|
Recovery |
1–2 weeks (return to light work in 5–7 days) |
|
Success Rate |
85–90% symptom relief |
|
Cost in Hyderabad |
₹1,20,000 – ₹3,50,000 |
|
Best For |
Women with fibroids wanting to avoid hysterectomy |
|
Specialist |
Dr. Shaileshkumar Garge, Citi Vascular, KPHB |
Table of Contents
What Is Uterine Artery Embolisation (UAE)?
How Does UAE Work?
Who Is the Best Candidate for UAE?
Who Is NOT Suitable for UAE?
Imaging Before UAE Procedure
Preparation Before UAE
Step-by-Step UAE Procedure
What Happens During UAE?
Recovery Timeline After UAE
Fertility After UAE
Side Effects & Risks of UAE
Success Rates of UAE
UAE vs Surgery Comparison
What Happens on the Day of UAE?
Patient Journey
Real Patient Story
Uterine Artery Embolization Cost in Hyderabad (2026)
Why Women Prefer UAE in 2026
Why Choose Dr. Shaileshkumar Garge — Citi Vascular Hospital, KPHB, Hyderabad
Doctors Bio
Expert Tips Before Choosing Your Treatment
FAQs
Final Thoughts
Uterine Artery Embolization (UAE/UFE) is a minimally invasive image-guided procedure that treats fibroids by blocking blood supply to them, causing gradual shrinkage without removing the uterus.
During the procedure:
A tiny catheter is inserted through an artery in the wrist or groin
Small embolic particles are injected into the uterine arteries
Blood supply to fibroids is blocked
Fibroids gradually shrink and symptoms improve
The procedure is performed by an interventional radiologist using advanced imaging guidance.
The UAE procedure blocks blood flow to fibroids using tiny particles.
What Happens:
Blood supply to fibroids decreases
Fibroids shrink gradually
Symptoms improve over weeks to months
Healthy uterine tissue remains preserved
Most patients experience significant symptom relief.
|
Stage |
What Happens Inside the Body |
Time Frame |
|
Embolisation |
Tiny PVA microspheres block uterine artery branches feeding fibroids |
During procedure |
|
Ischaemia |
Fibroids are deprived of blood and oxygen |
Hours 0–24 |
|
Infarction |
Fibroid tissue begins to die (necrosis) |
Days 1–7 |
|
Shrinkage |
Fibroids reduce in size by 40–60% |
Weeks 4–12 |
|
Symptom relief |
Heavy bleeding, pain, pressure symptoms reduce |
Months 1–6 |
|
Symptom / Condition |
Is UAE Suitable? |
Explanation |
|
Heavy menstrual bleeding (menorrhagia) |
✅ Yes |
Most common indication |
|
Multiple uterine fibroids |
✅ Yes |
UAE treats all fibroids simultaneously |
|
Pelvic pressure or pain |
✅ Yes |
Fibroids causing bulk symptoms respond well |
|
Anaemia due to blood loss |
✅ Yes |
Reduces blood loss within 2–3 cycles |
|
Wish to preserve uterus |
✅ Yes |
UAE is uterus-sparing by design |
|
Wish to avoid surgery |
✅ Yes |
No incision, no general anaesthesia |
|
Failed medical management |
✅ Yes |
Good option when hormonal therapy didn't work |
|
Completed family / uncertain fertility |
⚠️ Discuss |
Specialist evaluation required |
|
Pregnancy planned soon |
⚠️ Discuss |
Myomectomy may be preferred |
Women with heavy menstrual bleeding, multiple fibroids, pelvic pressure symptoms, anemia, large fibroids, and those wishing to avoid hysterectomy may benefit from UAE.
A specialist evaluation is necessary to determine eligibility.
Pregnant women, patients with active pelvic infection, suspected uterine cancer, severe kidney disease, or uncontrolled bleeding disorders may not be suitable candidates.
|
Condition |
Reason UAE is Not Recommended |
Alternative |
|
Pregnancy |
Risk to foetus |
Defer to post-delivery |
|
Active pelvic infection |
Risk of spreading infection |
Treat infection first |
|
Suspected uterine / cervical cancer |
Embolisation may delay cancer diagnosis |
Surgical evaluation first |
|
Severe contrast allergy |
Fluoroscopy requires iodinated contrast |
Pre-medication protocol or surgery |
|
Severely impaired kidney function |
Contrast nephropathy risk |
Alternative imaging required |
|
Submucosal fibroid (type 0) |
May not respond to UAE alone |
Hysteroscopic resection preferred |
|
Pedunculated subserosal fibroid |
Risk of fibroid detachment post-embolisation |
Surgical removal preferred |
Ultrasound, MRI, Doppler studies, and angiography help evaluate fibroid size, location, and blood supply before planning UAE.
Patients may require blood tests, fasting for 6–8 hours, imaging and medication review, and hospital admission before the procedure. Inform your doctor about allergies or pregnancy
Proper preparation helps improve safety and outcomes.
|
Step |
What the Doctor Does |
What the Patient Feels |
Duration |
|
1. Preparation |
IV line placed, sedation given, wrist or groin cleaned |
Drowsy, relaxed, minimal discomfort |
15–20 min |
|
2. Puncture |
Needle puncture in radial artery (wrist) or femoral (groin) |
Slight pinch — local anaesthesia used |
5 min |
|
3. Catheter navigation |
Micro-catheter guided through aorta → uterine arteries under X-ray |
No sensation — vessels have no nerve endings |
15–20 min |
|
4. Arteriogram |
Contrast dye injected to map fibroid blood supply |
Brief warm flush sensation |
5 min |
|
5. Embolisation |
PVA microspheres injected to block fibroid blood flow |
Mild cramping begins — pain medication given |
20–30 min |
|
6. Bilateral treatment |
Same process repeated on the other uterine artery |
Continued cramping — managed with IV pain relief |
20–30 min |
|
7. Completion |
Catheter removed, pressure dressing applied |
Mild to moderate cramping — improves within hours |
5–10 min |
The entire procedure generally takes 45–90 minutes.
Under fluoroscopy guidance, a tiny catheter is advanced into the uterine arteries. Embolic microspheres are injected to block fibroid blood supply while preserving healthy uterine tissue.
Most women recover within 3-5 days. Fibroid shrinkage and symptom relief continue gradually over 3–6 months.
Recovery is usually quicker than open surgery.
|
Time After UAE |
What to Expect |
Activity Level |
Medications |
|
0–6 hours |
Cramping, nausea, low-grade fever (post-embolisation syndrome) |
Bed rest in hospital |
IV pain relief + anti-nausea |
|
Day 1 |
Moderate cramping, fatigue, light vaginal discharge |
Short walks in ward |
Oral pain relief |
|
Days 2–3 |
Cramping reduces, energy returns slowly |
Rest at home, light activity |
Oral NSAIDs, hydration |
|
Days 4–7 |
Most patients feel significantly better |
Light work from home, driving with care |
As prescribed |
|
Week 2 |
Near normal daily activities |
Return to desk work, light exercise |
Iron supplements if anaemic |
|
Month 1–3 |
Menstrual bleeding reduces; fibroid shrinkage begins |
Full normal activities |
Follow-up imaging |
|
Month 3–6 |
Continued fibroid shrinkage; symptoms greatly improved |
Normal |
Review with specialist |
Recovery Tips:
Drink plenty of water
Take prescribed medications
Avoid heavy lifting temporarily
Walk regularly
Attend follow-up visits
UAE preserves the uterus, and some women achieve pregnancy after treatment. Fertility planning should be discussed individually with a specialist.
Although UAE is generally safe, some risks include:Temporary cramping, low-grade fever, nausea, and fatigue may occur after UAE. Rare complications include infection, non-target embolisation, or contrast allergy.
Choosing an experienced specialist minimizes complications.
Quick Answer : UAE provides symptom relief in approximately 85–90% of women, especially for heavy bleeding, pelvic pressure, and bulk symptoms caused by fibroids.
|
Factor |
UAE / UFE |
Myomectomy (Surgery) |
Hysterectomy |
|
Type of procedure |
Pin hole (IR) |
Open / laparoscopic surgery |
Open / laparoscopic surgery |
|
Anaesthesia |
Local + IV sedation |
General anaesthesia |
General anaesthesia |
|
Incision |
Tiny wrist/groin puncture |
Abdominal / laparoscopic cuts |
Abdominal incision |
|
Hospital stay |
Same day / 1 night |
2–4 days |
3–5 days |
|
Recovery time |
1–2 weeks |
4–6 weeks |
6–8 weeks |
|
Uterus preserved? |
✅ Yes |
✅ Yes |
❌ No (removed) |
|
Future pregnancy |
Possible (discuss with specialist) |
Good option for fertility |
Not possible |
|
Treats all fibroids? |
✅ Yes — all simultaneously |
⚠️ Depends on technique |
✅ Yes — with uterus |
|
Recurrence risk |
Low |
15–30% in 5 years |
None (no uterus) |
|
Cost in Hyderabad |
₹1.2L – ₹2.8L |
₹1.5L – ₹4L |
₹1.5L – ₹4.5L |
|
Best for |
Multiple fibroids, avoid surgery |
Younger women, fertility priority |
No more pregnancies, large fibroids |
|
Success rate |
85–90% symptom relief |
80–85% |
100% (fibroids eliminated) |
Key Takeaway:
UAE/UFE is the only treatment that eliminates ALL fibroids simultaneously without surgery, preserves the uterus, and allows return to normal life within 1–2 weeks. It is the preferred choice for women who want to avoid hysterectomy.
Patients arrive for admission, imaging review, and preparation. After the procedure, monitoring and early walking are encouraged, and most patients are discharged within 24 hours.
|
Stage |
What Happens |
Who Is Involved |
Timeframe |
|
1. First Symptom |
Heavy periods, pelvic pain, frequent urination, anaemia |
Patient notices |
Ongoing symptoms |
|
2. Initial Consultation |
Doctor evaluates symptoms, medical history, family planning goals |
GP / Gynaecologist / Dr. Garge |
Day 1 |
|
3. Diagnostic Imaging |
Pelvic ultrasound → MRI for fibroid mapping |
Radiologist + Interventional Radiologist |
Day 1–7 |
|
4. Pre-procedure Planning |
UAE planning, blood tests, anaesthesia review |
Dr. Garge + team |
1–3 days before |
|
5. Admission Day |
Arrive at Citi Vascular KPHB, IV line, consent, sedation |
Hospital team |
Morning of procedure |
|
6. UAE Procedure |
45–90 min procedure in Cath Lab under fluoroscopy |
Dr. Garge + radiographer |
Procedure day |
|
7. Recovery in Hospital |
Monitoring, pain management, early walking |
Nursing team |
4–24 hours |
|
8. Discharge |
Discharge with medications, instructions, follow-up date |
Dr. Garge |
Same day or Day 1 |
|
9. Home Recovery |
Rest, hydration, avoid strenuous activity |
Patient + family |
Days 1–14 |
|
10. First Follow-up |
Clinical review, symptom assessment |
Dr. Garge |
Week 2–4 |
|
11. Imaging Follow-up |
Ultrasound or MRI to confirm fibroid shrinkage |
Radiologist |
Month 3 |
|
12. Long-term Review |
Confirm sustained symptom relief |
Dr. Garge |
Month 6–12 |
I would like to thank Dr. Shailesh Kumar Garge Garu for the wonderful utlerine Fibroid surgery he did, I have been going through lot of pain from last 2 years and I have visited many hospitals in India but I didn’t feel comfortable with the doctors because they told me the only way I can get rid of my problem is to remove my Uterus, I was very worried about my health and I couldn’t bare the pain which I used to have everyday so I considered getting the surgery done but by God’s help I came across Dr. Shailes H kumar Garu’s video on YouTube and I visit the hospital to take a second opinion and when Dr. Shailes Kumar garu saw my report the first thing he told me was my uterus is perfectly normal and healthy and there’s no need to remove my Uterus to get rid of my pain, I felt very happy with the kind of response I received from the Doctor and decided to get my surgery with Dr. Shailes H kumar Garu. The surgery I got done was to remove Fibroids and the surgery went very well it was a 45 minutes procedure, while getting the surgery done the doctor Made sure I wasn’t feeling scared and made my feel very comfortable by talking to me while the surgery was going on, Within 24 hours I was back home and my health was perfectly fine. Whoever is reading my review I would like to tell you that if you have any problems please visit Dr. Shailes kumar Garu and have a word with him. I would like to thank Dr. Shailes kumar garu and the hospital Team for all the help they did to me and my prayers are always with them.— Vahida Shaikh, Kukatpally, Hyderabad. Date: 22/05/2025
|
Cost Component |
Approximate Cost (₹) |
Notes |
|
Pre-procedure MRI / Ultrasound |
₹8,000 – ₹18,000 |
Required for fibroid mapping |
|
Blood tests (CBC, coagulation, renal) |
₹2,500 – ₹5,000 |
Standard pre-procedure workup |
|
UAE Procedure Itself |
₹90,000 – ₹1,80,000 |
Includes cath lab, embolic particles, imaging |
|
Anaesthesiologist / Sedation |
₹10,000 – ₹20,000 |
Local + IV sedation |
|
Hospital Stay (1 night) |
₹8,000 – ₹15,000 |
Room + nursing care |
|
Medications (post-procedure) |
₹3,000 – ₹8,000 |
Pain relief, antibiotics |
|
Follow-up MRI (3 months) |
₹8,000 – ₹15,000 |
To confirm fibroid shrinkage |
|
TOTAL ESTIMATE |
₹1,20,000 – ₹3,50,000 |
Varies by fibroid size, hospital class |
|
Factor |
How It Affects Cost |
|
Number of fibroids |
More fibroids = more embolic particles = higher cost |
|
Fibroid size |
Large fibroids (>10 cm) may require more material |
|
Type of hospital |
Corporate hospitals cost more than specialist centres |
|
Wrist vs groin access |
Wrist (radial) access slightly higher due to expertise needed |
|
Length of stay |
Same-day discharge costs less than 2-night stay |
|
Insurance coverage |
Cashless available with some insurers — ask for letter of authorisation |
???? Note for Patients:
At Citi Vascular Hospital, KPHB, all cost components are disclosed upfront before the procedure. EMI payment options are available. Insurance coordination assistance is provided. Call +91-73375 83901 for a personalised cost estimate.
Women increasingly choose UAE because it offers:
Non-surgical treatment
Faster recovery
Uterus preservation
Reduced downtime
Better cosmetic outcomes
Effective symptom relief
Modern vascular intervention technology has made UAE highly successful.
|
✅ Why Patients Choose Citi Vascular, KPHB |
|
800+ UAE Procedures Performed |
|
FRCR (UK) + FNVIR (CMC Vellore) Certified Specialist |
|
Dedicated Cath Lab — Advanced Fluoroscopy Guidance |
|
⏱️ 45–90 Min Procedure | Same-Day / Next-Day Discharge |
|
Transparent Pricing — No Hidden Charges | EMI Available |
|
Insurance Coordination Assistance Provided |
|
Centrally Located — KPHB Colony, Road No. 1, Hyderabad |
"Dr. Garge has performed 800 of UAE procedures across KPHB, Kukatpally, Hyderabad, India — helping patients avoid major surgery and return to normal life within days."
Extensive Vascular Expertise
Over 12 years of dedicated experience performing image-guided vascular procedures. Dr. Garge has treated thousands of fibroid patients across KPHB, Kukatpally, Miyapur, Ameerpet, Secunderabad, and greater Hyderabad using all available intervention radiology techniques
Ultrasound and Fluoro Guided Precision
All UFE procedures are guided by fluoro, ensuring accurate mapping of fibroid, safe catheter placement, and treatment of every fibroid
Advanced Infrastructure
A dedicated Cath Lab, high-resolution colour Doppler ultrasound, and fluoroscopy — enabling the full spectrum of vascular interventions under one roof. Most patients are assessed, treated, and discharged on the same day.
Transparent Pricing
All costs — including Doppler, procedure, compression stockings, medications, and follow-up review — are discussed in advance. No hidden charges after treatment.
|
Credential |
Detail |
|---|---|
|
Full Name |
Dr. Shaileshkumar Garge |
|
Qualifications |
MBBS | MD — Mumbai | DNB — Delhi | FRCR — UK | FNVIR — CMC Vellore | EBIR — Spain/Europe |
|
Role |
Director & Chief Vascular Physician | Senior Consultant Interventional Radiologist |
|
Hospital |
Citi Vascular Hospital, KPHB Colony, Road No. 1, Hyderabad, Telangana 500072 |
|
Experience |
12+ years dedicated image-guided vascular interventions |
|
Specialisation |
UAE, Embolisation, Varicose Veins, PAD, DVT, Vascular Malformations, etc |
|
Technology |
Dedicated Cath Lab | Duplex Ultrasound | Fluoroscopy Guidance |
|
Serving Areas |
KPHB, Kukatpally, Miyapur, Ameerpet, Secunderabad, Hyderabad & Telangana |
|
Contact |
+91-73375 83901 | www.citivascularcentre.com |
Helpful Tips for Better Recovery:
Follow medication schedules carefully
Stay hydrated
Avoid strenuous exercise initially
Eat iron-rich foods
Monitor symptoms
Attend follow-up imaging appointments
Maintain a healthy lifestyle
Early treatment often leads to better outcomes.
1. What is Uterine Artery Embolisation (UAE/UFE)?
UAE/UFE is a uterus saving procedure that blocks blood supply to uterine fibroids through a tiny wrist or groin puncture, causing fibroids to shrink naturally without surgery. It carries an 85–90% success rate and preserves the uterus — with no general anaesthesia required.
2. Is the UAE painful?
Most patients feel mild to moderate cramping during and after UAE, which is well-controlled with IV pain medication; by day 2–3, most women are comfortable with oral painkillers only. No significant post-operative pain burden.
3. How long does the UAE take?
The UAE procedure takes 45–90 minutes in the Cath Lab, followed by 4–6 hours of monitoring; most patients are discharged the same evening or the following morning.
4. What is the recovery time after UAE?
Most women return to light work within 3–5 days and fully resume normal activities within 1–2 weeks. Fibroid shrinkage continues progressively over 3–6 months after the procedure.
5. How much does the UAE cost in Hyderabad (2026)?
UAE treatment in Hyderabad costs approximately ₹1,20,000 to ₹3,50,000 depending on fibroid size, number, hospital facilities, and length of stay. Read our detailed UAE cost guide Fibroid Embolisation Treatment Cost in Hyderabad (2026) | UFE Cost, Recovery & Non-Surgical Treatment
6. Can I get pregnant after UAE?
Pregnancy is possible after UAE, and some women have successfully conceived post-procedure; however, fertility outcomes vary and should be discussed individually with a specialist before choosing UAE over myomectomy.
Uterine Artery Embolisation is an advanced non-sugical fibroid treatment alternative to surgery. Early consultation and expert evaluation can help women choose the most suitable treatment option.
Book UFE Consultation in Hyderabad. Consult Dr. Shaileshkumar Garge at Citi Vascular Hospital, KPHB — expert evaluation, USG assessment, and personalised treatment recommendation. Call +91-73375 83901???? WhatsApp Us Now | ???? Citi Vascular, KPHB, Hyderabad ✅ Same-Day Appointments Available — Mon to Sat
