LAST MEDICALLY REVIEWED:
Spetember 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 30-60 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 2-5 days.
|
Procedure Type |
Catheter based interventional radiology procedure |
|
Purpose |
Shrink uterine fibroids without surgery |
|
Duration |
30-60 minutes |
|
Anaesthesia |
Local anaesthesia + mild sedation (not general) |
|
Hospital Stay |
Same day or overnight (24 hours) |
|
Recovery |
2-5 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
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 may shrink gradually after UAE/UFE, and associated symptoms may improve over time. The extent of improvement varies depending on individual clinical factors.
The procedure is performed by a suitably qualified interventional radiologist using imaging guidance appropriate to the procedure.
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
Many patients experience improvement in fibroid-related symptoms after UAE, although the degree and duration of relief vary.
|
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.
Pregnancy, active pelvic infection, suspected malignancy, significant kidney impairment, bleeding disorders and other clinical factors require careful assessment before UAE. Some may contraindicate or delay treatment, while others may require additional precautions or an alternative approach.
|
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 |
Pelvic ultrasound and, when indicated, MRI help assess fibroid size, location and other uterine findings before UAE. Additional imaging and angiographic assessment are selected according to the clinical plan.
Preparation may include blood tests, review of imaging and medications, fasting instructions and arrangements for hospital care. Requirements vary according to the planned procedure, anaesthesia or sedation and the patient's medical history.Inform your doctor about allergies or pregnancy
Following the treating team's preparation instructions helps support appropriate procedural care, although outcomes and risks vary between patients.
|
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 particles are delivered to reduce blood flow to fibroids. The procedure aims to treat fibroids while preserving the uterus, but effects on surrounding uterine tissue and potential complications should be discussed with the treating specialist.
9. Recovery Timeline After UAE
Some patients resume light daily activities within several days, while others need longer to recover. Recovery depends on individual health, pain, complications and the nature of daily activities. Fibroid shrinkage and symptom relief continue gradually over 3–6 months.
Recovery after UAE differs from recovery after open surgery. The expected recovery period depends on the treatment selected and individual circumstances.
|
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 pregnancy may be possible afterward. Its effects on fertility and pregnancy outcomes remain important considerations. Women who wish to conceive should discuss the potential benefits, limitations and alternatives, including myomectomy where appropriate, before choosing treatment.Fertility planning should be discussed individually with a specialist.
Temporary cramping, nausea, fatigue and a rise in temperature may occur after UAE. Potential complications include infection, unintended embolisation, contrast reactions and other procedure-related risks. The likelihood and severity vary, and the treating specialist should explain the relevant risks.
Appropriate specialist training, procedural planning and infection-prevention practices are important aspects of care, but complications cannot be completely prevented.
Quick Answer : UAE can improve fibroid-related symptoms in many patients, but the degree of benefit varies. Any published success rate should be supported by reliable clinical evidence that defines the outcome measured, the patient population and the follow-up period.
|
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 |
2-5 days |
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 – ₹3.5L |
₹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 2-5 days. It is the preferred choice for women who want to avoid hysterectomy.
After the procedure, patients are monitored and mobilised when clinically appropriate. Discharge timing depends on pain control, recovery, complications and the need for further observation.
|
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 |
30-60 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 |
|
12,000+ Image-Guided Minimally Invasive Procedures |
|
FRCR (UK) + FNVIR (CMC Vellore) Certified Specialist |
|
Dedicated Cath Lab — Advanced Fluoroscopy Guidance |
|
⏱️ 30-60 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 12,000+ Image-Guided Minimally Invasive 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.
UAE/UFE is a minimally invasive procedure that reduces blood supply to uterine fibroids while preserving the uterus. The degree of symptom improvement varies, and anaesthesia or sedation arrangements depend on the individual treatment plan.
2. Is the UAE painful?
Most patients feel mild to moderate cramping during and after UAE, which is well-controlled with IV pain medication; Cramping and pain commonly occur after UAE and can vary in severity and duration. Pain management is tailored to the patient's needs, and some patients may require additional medication or assessment.
3. How long does the UAE take?
Procedure duration, post-procedure monitoring and discharge timing vary depending on the procedure and the patient's clinical condition.
4. What is the recovery time after UAE?
Some patients resume light activities within several days, while others need a longer recovery period. The treating team should advise when it is appropriate to resume work, exercise and other normal activities.
5. How much does the UAE cost in Hyderabad (2026)?
The cost of UAE in Hyderabad varies according to the hospital, procedure, materials, investigations, hospital stay and follow-up. Contact the hospital for a current, itemised estimate. 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
Book your Appointment here: | Appoinment: |Call +91-7032508468| Whatsapp:+91-7337583901
