UFE vs. Hysterectomy: Which Option is Best for You?

Uterine fibroids illustration

Women diagnosed with symptomatic uterine fibroids are often told that a hysterectomy is the only permanent solution. According to the National Institutes of Health, over 200,000 hysterectomies are performed each year for fibroid treatment. This surgical procedure involves the removal of all or part of the uterus, and in some cases, the ovaries. Such an approach can be problematic for several reasons, including the unnecessary removal of the uterus, increased risks of heart attack and stroke, as well as the potential for earlier onset of menopause.

Fortunately, advancements in medical technology, improved imaging techniques, and treatments like uterine fibroid embolization (UFE) are making a significant difference in the lives of women dealing with fibroids.

The physicians at Fibroid Clinic’s affiliated locations have extensive experience with the UFE procedure, which is a minimally invasive treatment that preserves the uterus. This method is associated with fewer complications, quicker recovery times, and does not necessitate a hospital stay. Take the time to explore the differences between UFE and hysterectomy to help determine the best treatment option for your needs.

Uterine Fibroid Embolization vs Hysterectomy

Uterine Fibroid Embolization (UFE)

A key distinction of UFE is that it preserves the uterus, allowing the possibility of future pregnancies. Unlike surgery, UFE does not necessitate an overnight hospital stay and is carried out using mild sedation instead of general anaesthesia.

Hysterectomy

Hysterectomy is a more invasive surgical intervention that entails removing the uterus and potentially the fallopian tubes and ovaries. Following a hysterectomy, menstruation ceases, and pregnancy becomes impossible.

Feature
UFE: Preserves uterus
Hysterectomy: Does not preserve uterus
Feature
UFE: Less invasive
Hysterectomy: Invasive surgical procedure
Feature
UFE: Mild or moderate sedation
Hysterectomy: General anesthesia
Feature
UFE: No hospitalization required
Hysterectomy: Requires hospitalization
Feature
UFE: Reduced risk of complications
Hysterectomy: Higher risk of complications
Feature
UFE: Recovery in 1-2 weeks
Hysterectomy: Recovery in 6-8 weeks
Feature
UFE: No impact on hormones
Hysterectomy: Affects hormones

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How is UFE Performed?

Illustration of Uterine Fibroids

Hysterectomy is a significant surgical procedure aimed at removing the uterus to alleviate the discomfort caused by large fibroids. Nevertheless, opting for a hysterectomy may result in permanent health changes, such as infertility and premature menopause. There are three common approaches to performing a hysterectomy: vaginal, abdominal, and laparoscopic.

The duration of the procedure hinges on the size of your uterus and whether the removal of the ovaries and fallopian tubes is also involved. Typically, a hysterectomy lasts about 1-3 hours, with an average hospital stay of 2.3 days.

Uterine fibroid embolization is a minimally invasive, image-guided procedure for treating fibroids. It is completed on the same day and typically lasts less than an hour.

In UFE, an interventional radiologist creates a small incision in the groin, accessing the femoral artery. A thin catheter is then inserted, and minuscule particles are injected into the small blood vessels supplying the fibroids. These particles obstruct blood flow, leading to the shrinkage of the fibroids.

Steps of Uterine Fibroid Embolization

  • Local anesthesia and IV sedation
  • Small incision in wrist or groin
  • Catheter insertion with image guidance
  • Injection of tiny particles
  • Brief recovery period
  • Post-procedure instructions
  • Follow-up examinations

UFE vs Hysterectomy Recovery

UFE Recovery

Same-Day Discharge

Patients can return home on the same day after the treatment.

Short Recovery Period

Many women can resume regular daily routines within 1-2 weeks.

Minimal Pain

Some women may experience cramping, but it typically diminishes within the initial days.

Low Complication Risk

Minimal to non-existent risk of complications such as infections.

Quick Symptom Relief

Relief from symptoms like pain, heavy bleeding, and bloating.

Hysterectomy Recovery

Hospital Stay

Patients typically spend 1-2 days in the hospital after surgery.

Longer Recovery Period

4-6 weeks for abdominal surgery; 3-4 weeks for vaginal and laparoscopic surgery.

Postoperative Effects

Vaginal bleeding and discharge for six weeks, with alterations in bowel movements and bladder function.

Hormonal Changes

May lead to emotional side effects, such as depression.

Full Recovery Time

Most women experience full recovery within 6-8 weeks.

While both procedures aim to address uterine issues, UFE generally offers a faster recovery time and a less invasive approach compared to hysterectomy. However, the choice between UFE and hysterectomy depends on individual circumstances and should be made in consultation with a healthcare provider.

What is Right for You?

Illustration of uterine fibroids

The Fibroid Center of Texas emphasizes the importance of equipping women with thorough information regarding fibroid treatment options. When considering the choice between Uterine Fibroid Embolization (UFE) and hysterectomy, it's essential to evaluate several important factors.

Since fibroids are generally benign and often asymptomatic, invasive surgical procedures for fibroids are rarely necessary. Women who are planning future pregnancies or who wish to maintain their uterus should avoid hysterectomy.

Why Choose The Fibroid Clinic For UFE?

The Fibroid Center of Texas is proud to offer uterine fibroid embolization at various treatment facilities across the USA. Our certified fibroid specialists possess extensive expertise in performing UFE, utilizing advanced tools and technology.

We work closely with you to ensure a comprehensive understanding of the procedure. Each facility features private patient rooms, state-of-the-art operating rooms, and dedicated recovery areas.

Our team is committed to providing thorough and empathetic care throughout every stage of your UFE procedure. If you have any questions or concerns, feel free to contact us at any time.

Expert Specialists

Certified fibroid specialists with extensive expertise in performing UFE.

Patient-Centered Care

A collaborative approach to ensure comprehensive understanding of the procedure.

State-of-the-Art Facilities

Private patient rooms, cutting-edge operating rooms, and dedicated recovery areas.

Frequently Asked Questions

Does UFE Impact Fertility?

While UFE can influence fertility, many women have successfully become pregnant after undergoing the procedure. It’s crucial to discuss your fertility objectives with your doctor before opting for UFE.

Are All Fibroids Treatable?

The majority of fibroids can be addressed with UFE, but its effectiveness can differ based on the size, quantity, and location of the fibroids. Your physician will assess whether UFE is appropriate for your individual situation.

What Can I Expect After UFE?

Post-UFE, you might experience mild to moderate discomfort for a few days, which can be alleviated with medication. Most women are able to resume normal activities within a week, and you'll have follow-up visits to track your recovery.

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