Thyroid Nodule Ablation/Embolisation

Treating Thyroid Nodules Without Surgery

Thyroid nodules are common, and while many are harmless, some can grow large enough to cause discomfort, voice changes, difficulty swallowing, or cosmetic concerns. Traditionally, surgery was the only option for troublesome nodules. Today, modern minimally invasive treatments such as thyroid nodule ablation and embolisation offer an effective alternative without removing the normal thyroid gland.
Thyroid nodule ablation involves using image guidance to precisely target the nodule and shrink it from within without harming the surrounding normal thyroid. After identifying the nodule’s size and position using ultrasound, a fine needle is inserted and energy such as radiofrequency or microwave is applied to break down the nodule tissue. Over the next few weeks, the treated nodule gradually reduces in size, relieving pressure and improving symptoms.
In certain cases, selective embolisation can be used to cut off the nodule’s blood supply. By navigating a tiny catheter through the blood vessels, the feeding artery to the nodule is blocked, causing the nodule to shrink. Both approaches are performed through pinhole access, without general anaesthesia, and with minimal discomfort.
Recovery with these treatments is much quicker than surgery. Most patients go home the same day, return to routine activities within 24 hours, and do not require long-term thyroid medication. As the nodule shrinks, patients often notice easier swallowing, reduced neck fullness, and improved appearance.
If you have been advised surgery for a benign thyroid nodule or are experiencing throat pressure, visible swelling, or difficulty swallowing, it is important to get evaluated by an Interventional Radiologist to confirm the diagnosis with imaging as well as offer you the best treatment option without any surgery and preserving your thyroid gland. Minimally invasive treatments can help preserve the thyroid gland, avoid surgical scars, and restore comfort without major downtime.

Uterine fibroids are common benign growths in the uterus that can cause a wide range of symptoms — from heavy menstrual bleeding and pelvic pain to bloating and pressure on the bladder or bowel. Many women are told surgery is the only answer, but that’s not always the case. Uterine Fibroid Embolisation (UFE) is a safe, effective, and uterus-preserving option that treats fibroids without the need for hysterectomy or myomectomy.

This procedure is performed through a tiny puncture in the groin or wrist. Using real-time imaging, a thin catheter is guided into the uterine arteries that supply the fibroids. Once in position, small particles are delivered to block blood flow to the fibroids. Without a blood supply, the fibroids gradually shrink, and symptoms begin to improve in the weeks and months that follow.

UFE is ideal for women who wish to avoid major surgery, retain their uterus, or need a faster recovery. It can also be considered for patients who are not suitable for surgery due to medical conditions or personal preferences. Most procedures are done under local anaesthesia with sedation, and patients usually return home the same day or after an overnight stay. Compared to surgical options, UFE involves less pain, fewer complications, and a significantly shorter recovery period.

Patients often report a noticeable improvement in symptoms within the first two to three menstrual cycles. The fibroids continue to shrink over time, and in most cases, the results are long-lasting. UFE does not involve any surgical cuts or stitches, and the uterus remains structurally intact. While fertility after UFE is possible, it is a topic best discussed during consultation, based on individual goals and medical factors.

If you’ve been advised to undergo surgery for fibroids, or are seeking a second opinion, UFE may offer the clarity and comfort you’re looking for. With the right guidance, you can make an informed decision that prioritises both your health and your preferences.

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