Uterine Artery Embolization in Moscow
  • Immediate relief

  • Zero complications

  • Specialists having vast first-hand experience of performing Uterine Artery Embolization (UAE) in Russia, CIS and European countries

  • Application of leading-edge EMBOZENE products

  • Our foreign patients can always rely on our assistance and support (in receiving a Russian visa, building an itinerary, meeting and seeing off at the airport, finding accommodation in Moscow, interpreting and other services upon request)

  • Total cost of UAE at the European Clinic (Moscow) – 2,480 Euros

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  • About fibroids
  • Diagnosis
  • Treatment options
  • UFE
  • After UFE
About fibroids

Uterine fibroid is one of the most widespread gynecological disorders in women. It is believed that up to 87% of women may have uterine fibroid. However, complaints may appear in only 30-55% of women, who as a rule, are above the age of 30, whereas uterine fibroid can manifest itself without any symptoms in many other women.
Uterine fibroid is the manifestations of single or multiple solid nodes, growing along the uterine wall, consisting of muscle and fibrous tissue. They may grow in different parts of the uterus, and the location has clinical implications for the treatment of the disease.
Uterine fibroid is a benign tumor. A fibroid never evolves into a malignant tumor and it does not present a risk of developing malignantly.
Fibroids by location
The location, the number and the size of the nodes are important for the treatment of uterine fibroid. A distinction is made between subserous nodes, which grow outside the uterus – where such nodes often exhibit no symptoms – and intramural, intermuscular and submucosal nodes.
Submucosal nodes, which grow in the cavity of the uterus – leading to potential deformation – most often cause symptoms in the form of heavy long-lasting menstrual period.
The exact causes of uterine fibroid have not been established thus far. It is reported that women who have either been exposed to inflammatory diseases of their genitalia, underwent abortions, surgical interventions on their uterus or who have given birth are more likely to develop uterine fibroid. The presence of a genetic predisposition is not denied as a potential cause.
The most common symptoms of uterine fibroid are a heavy long-lasting menstrual period, a sense of weight on the bladder or the lower abdomen, general abdominal pain, as well as enlargement of the abdomen. In a number of cases, uterine fibroid may prevent pregnancy.


The easiest method to diagnose uterine fibroid is an ultrasound investigation. It is important to remember that uterine fibroid may not manifest itself for a long time, therefore all women need to perform an ultrasound investigation annually, starting from the age of 20 years old, irrespective of presence of complaints or not. If the disease is advanced, when large nodes appear, they may be physically felt during a standard examination on a gynecological chair, whereas small nodes during the early stages of development of the disease may be unnoticeable. In more complex cases ultrasound investigation is accompanied with an MRT for a thorough diagnostic.

Treatment options

The approach for the treatment of uterine fibroid has significantly changed over the last few years. As stated earlier, a dissection and removal of the walls of the uterus with fibroid nodes was the most common method of treatment. This surgical intervention has been the most widely practiced so far, but it is more and more seldomly applied. A complete dissection of the uterus is nowadays only recommended in more serious cases, where fibroid nodes enlarge within the uterus to giant proportions (potentially filling out the entire abdominal cavity) or when it is combined with malignant gynecological disorders.
Typical and usual uterine fibroids do not require uterine dissection.
It is highly desirable to avoid uterine dissection, since irrespective of whether the uterus is dissected with or without the ovaries, more than a half of women who have been through this form of treatment developed different complications, such as hormone deficiency, or an increase in risk of cardiovascular diseases, such as myocardial infarction and/or strokes.
Myomectomy – limited use
Surgical treatment of uterine fibroid in the form of nodes dissection may be performed using two different approaches: a laparotomical one, where an abdominal incision is performed and a surgeon operates directly with his/her hands, and a laparoscopic one, where the operation is performed through 3 or 4 small holes in the abdomen using devices with camera guidance. The latter kind of operations is most commonly used. It is reasonable to conduct nodes removal from the uterus only if the woman is interested in becoming pregnant in the near future. In other words, a myomectomy is a temporary uterine restoration to realize a specific pregnancy. This treatment option is associated with a high recurrence rate, with rates reaching between 7-14% per year (reference), and several years after undergoing a myomectomy, the uterine fibroid problem will have to be tackled again. Uterine fibroid relapse occurs in more than 50% of patients after a myomectomy.
It is important to further understand that removing nodes from the uterus leaves scaring, which may be torn open again whilst giving birth; and following their removal, the more nodes there were in the uterus and the deeper they were, the greater the danger for a consecutive pregnancy. Furthermore, this invasive surgical treatment is associated with serious risk and trauma, connected with narcosis, hemorrhage, inflammation, and injury of the bowels as well as thrombotic complications. Rehabilitation after surgical intervention takes up to 2 months.


Uterine Fibroid Embolization (UFE) is the most recent and current treatment option of uterine fibroid, notwithstanding that its first application in medicine took place as far back as the 1970s. The essence of this option is in the devascularisation of all uterine fibroid nodes, which results in their destruction or nonreversible decrease in dimensions. As a result patients do not experience most or any complications. The efficiency of UFE is 98-99%.
This intervention is not performed by a gynecologist, but by a different medical profession – an interventional radiologist. The gynecologist’s function is limited to the examination, diagnosis, and recommendation of which treatment option would be most appropriate for the patient. It is perhaps due to a lack of expertise that some gynecologists may be unwilling to recommend UFE, ascribing to the method non-existent complications, restricting UFE usage. Actually UFE is one of the most secure procedures in gynecology – the risk of any complications is 20 times lower, than after any other variant of surgical treatment. The procedure is performed under local anesthesia (as there is no need for general anesthesia) and takes no more than 15-20 minutes. It is painless and relatively comfortable.

General procedure and Feelings

During UFE, the interventional radiologist firstly carries out a local anesthetization of the femur skin. Then a puncturing of the femoral artery is made – this stage is already absolutely painless. Through the femoral artery a special catheter is introduced, which is manipulated under fluoroscopic guidance. Uterine arteries and blood vessels feed the nodes; therefore the surgeon’s aim is to enter at first in one uterine artery, then into the other so that he can introduce Embozene in order to block the supply of the nodes which consequently makes them shrink from lack of supply. As a rule, this stage takes no more than 10 minutes and is accompanied with a feeling of warmth flowing through the body. The procedure ends with the application a special vascular seal where the femoral artery was punctured.
During the aftermath of the procedure, for a few hours the patient may develop a moderate pain (mostly located in the lower abdomen), nausea, and general feeling of weakness. This condition can last until evening and is managed with anesthetics. The next day after the UFE, moderate abdominal pains, weakness and temperature elevation may remain. Such condition is named “postembolic syndrome” and lasts for up to 7 days.
Only one or two days at hospital
As the course of this syndrome is rather mild, the patients are discharged from hospital either the following day, or on the second day, depending on their desire.
Recovery after Uterine Artery Embolization takes on average just one week.

After UFE

Control analyses are made 3, 6, or 12 months after UFE. Already, by the third month after the procedure heavy menses, a sense of weight on the bladder, and abdominal pains will have disappeared; and the size of the abdomen will have significantly reduced.
The nodes dimensions decrease on average by 30%, and in the year following the procedure, the irreversible involution of the nodes reaches 50-70%. The major difference of UFE when compared to medicinal treatment of uterine fibroid with hormones is the total destruction of all uterine fibroid nodes and the irreversibility of their decrease.


Relapses are not practically reported after UFE. Throughout the whole history of its observation, the relapse rate is near 1%. This fact makes UFE highly recommendable to patients with uterine fibroid who plan on a pregnancy in the indeterminate future.
It is important to note, that even in 1% of cases, when the blood flow in the uterine after UFE reverts, and an additional embolization procedure of these new vessels may be needed, it is performed free of charge in our clinic.

Treatment procedure

  • 1

    Online consultation

  • 2

    Treatment planning

  • 3

    Building an itinerary

  • 4

    Visit to Moscow

  • 5

    After the treatment

Online consultation

To receive an initial consultation, please send your medical records to assistance@mioma.ru, including your past medical history: when you were diagnosed with fibroids, what treatment has been performed, your age, complaints, plans regarding pregnancy in the near and/or distant future, concurrent diseases and conditions, any past surgeries). Please attach any available ultrasound or MRI scans (if possible, provide the link to download narrative reports in DICOM file format).

Your request will be forwarded to our doctors for examination. Initial online consultations are free of charge.

You will receive a reply within 1-3 business days.

Treatment planning

After our doctors have studied your past medical history and medical records, you may be asked to take pre-admission tests to save your time and money when you are admitted to the clinic. The test checklist will be sent to you.

Building an itinerary

We will help you in your arrangements for your trip to Moscow (receiving a Russian visa, meeting/seeing you off at the airport in Moscow, accommodation in Moscow, language interpreting services).

Visit to Moscow

Upon your arrival we will meet you at the airport and take you to the clinic or your place of stay; we will give your local SIM card and will provide you with every possible assistance you may need while staying in Moscow.

After the treatment

After the treatment, the doctor will stay in touch with you by phone, email, skype and through messengers. Generally, you will not need any additional trips, being under care of your local physicians and specialists.


Dmitry Lubnin

Head of the OB/GYN Department of the European Clinic, MD, PhD

Boris Bobrov

Endovascular surgeon, Medical Director of the European Clinic, MD, PhD, MBA

Free Online Consultation

About European Clinic and Russian Medicine:

The European Clinic is a private clinic in the center of Moscow, specialized in endovascular, endoscopic and laparoscopic surgery, as well as in the treatment of serious cancer patients. It is one of the most comfortable, with some of the highest quality standards in Moscow. Our aim is to provide a patient with the best medical care, aid and service at a reasonable price. In the European Clinic, we perform on average 600 UFEs annually and receive patients from all corners of Russia and the world.

Over the last few years, a great many patients from countries in Europe, Asia and North and South America arrived in Russia, to receive high-class medical care at a reasonable price. And there is a rationale to that. Recently, the Russian government took a straight course on the healthcare industry reveal. Although state hospitals services leave much to be desired, the same cannot be said about the private healthcare sector in Russia; and Moscow represents the best of a new Russian approach to medicine and medical hospitality, alike European and American clinics.

At the moment, the Russian private medical sector’s reputation is one of the highest ranked healthcare systems in the world, in part thanks to highly reputable and well known doctors. Russians have always been pioneers in many spheres, and healthcare is no exception.

Our system is highly patient-oriented with a policy of equal access for all citizens: Russia, CIS and other countries, whilst ensuring a high quality standard of medical care, and assistance is provided for foreign patients. The Russian private healthcare system is open to international patients. Many foreigners have already taken advantage of good and competitive healthcare facilities in Moscow. Also, we should keep in mind, that the costs for treatment in Russia are much cheaper due to the difference of currency rates.

Russia is a welcoming, beautiful country and a very interesting place to visit. If you would like to explore Russia whilst underaking your uterine fibroid treatment, please contact us.

We will be happy to introduce you to the high standards of treatment in Russia with personal assistance in order to make you feel at home at ease, whilst being a money saving option and getting gold standard healthcare.


Certificate of developer, Terumo
Community Prize “Vocation” for UFE implementation to stop postpartum hemorrhages
Russian Federation Government Prize for development of UFE method in patients, interested in pregnancy

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