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

Uterine fibroids illustration

Uterine fibroids can cause a range of symptoms, including heavy bleeding, frequent urination, and severe menstrual cramps. If you've been diagnosed with uterine fibroids, it’s essential to explore the treatment options available for symptom relief. One such option is myomectomy, a more invasive surgical procedure focused on removing specific fibroids.

However, it's crucial to recognize that myomectomy has a higher chance of recurrence compared to uterine fibroid embolization (UFE). UFE is a minimally invasive, image-guided procedure designed to effectively reduce the size and symptoms of fibroids. This treatment is often preferred over myomectomy due to its less invasive nature, as it can address multiple fibroids of various sizes simultaneously. With lower risks of complications, shorter recovery times, and the convenience of avoiding hospital stays, UFE stands out as a favorable option.

At the Fibroid Center of Texas, our specialists bring decades of expertise in performing UFE procedures, utilizing the latest technology and minimally invasive techniques. We encourage you to explore the differences between UFE and myomectomy to make an informed decision regarding the most suitable treatment for your needs.

Uterine Fibroid Embolization vs Myomectomy

Uterine Fibroid Embolization (UFE)

A key distinction of uterine fibroid embolization (UFE) is that it preserves the uterus, allowing for the possibility of future pregnancies. Unlike surgical options, UFE does not require an overnight hospital stay and is performed using mild sedation instead of general anesthesia.

Myomectomy

Myomectomy is a more invasive surgical intervention that involves the removal of fibroids while retaining the uterus; however, in some cases, it may also entail the removal of the fallopian tubes and ovaries. Following a myomectomy, menstruation may cease, and the potential for pregnancy can be significantly affected or lost, depending on the extent of the surgery and the structures removed.

Feature
UFE: Less invasive
Myomectomy: Invasive surgical procedure
Feature
UFE: Mild or moderate sedation
Myomectomy: General anesthesia
Feature
UFE: No hospitalization required
Myomectomy: Requires hospitalization
Feature
UFE: Reduced risk of complications
Myomectomy: Higher risk of complications
Feature
UFE: Recovery in 1-2 weeks
Myomectomy: Recovery in 2-6 weeks
Feature
UFE: Lower occurrence of fibroid regrowth
Myomectomy: Increased likelihood of fibroid regrowth

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How is UFE Performed?

Uterine fibroids illustration

Myomectomy involves the surgical removal of fibroids while preserving the uterus. This procedure can be performed through a single incision or, in some cases, multiple incisions in the vagina, cervix, or lower abdomen. There are three variations of myomectomy procedures: abdominal, laparoscopic, and hysteroscopic surgery.

The choice of surgery depends on factors such as the size, location, and number of fibroids. Typically, a myomectomy is expected to last between 2 to 3 hours.

In contrast, uterine fibroid embolization (UFE) involves inserting a slender catheter through the upper thigh into the femoral artery. Subsequently, tiny gel particles are injected into the blood vessels supplying the fibroids. These particles block the blood supply to the fibroid, resulting in a reduction in size.

UFE is performed as a same-day procedure, usually lasting about one hour.

UFE vs Myomectomy Recovery

UFE Recovery

Same-day Discharge

Patients can return home on the same day after treatment.

Short Recovery Period

Most women can resume normal activities within 1-2 weeks.

Quick Symptom Relief

Patients often experience relief from pain, heavy bleeding, and bloating soon after UFE.

Myomectomy Recovery

Hospital Stay

Patients usually require an overnight stay in the hospital following surgery.

Longer Recovery Period

Recovery may take 3-4 weeks for hysteroscopic and laparoscopic procedures.

Full Recovery Time

Most women achieve full recovery within 4-6 weeks after myomectomy.

Both UFE and myomectomy are effective procedures for addressing uterine issues. However, UFE typically offers a quicker recovery and is less invasive than myomectomy. The decision between the two should be based on individual medical circumstances and made in consultation with a healthcare provider.

What is Right for You?

Uterine fibroids illustration

While myomectomy effectively removes fibroids, it carries a risk of regrowth, which may lead to the recurrence of symptoms. Uterine fibroid embolization (UFE) also has a potential for regrowth, but this occurs at lower rates. Furthermore, myomectomy can result in post-procedural complications, including blood clots, infections, scarring, and possible fertility issues linked to these complications.

At our fibroid clinic, we advocate for uterine fibroid embolization as the preferred treatment for women with fibroids. This procedure preserves the uterus, minimizes scarring, and involves a short recovery time due to its minimally invasive nature. UFE has a success rate of around 85%, leading to significant symptom relief for most women. Most patients experience a smooth recovery, allowing them to resume regular activities within a week to 10 days.

Approximately 85-90% of women who undergo UFE report relief from their symptoms, along with measurable shrinkage of their fibroids. Following the procedure, you will have a follow-up appointment with your doctor, which may include additional ultrasound or MRI scans to monitor your healing progress.

Why Choose The Fibroid Clinic For UFE?

At Fibroid Center of Texas, we are proud to offer uterine fibroid embolization (UFE) at various treatment facilities across the USA. Our certified fibroid specialists have extensive expertise in performing UFE, utilizing advanced tools and technologies.

Our team collaborates closely with you to ensure a comprehensive understanding of the procedure. Each facility is equipped with private patient rooms, state-of-the-art operating rooms, and dedicated recovery areas.

We are committed to providing thorough and compassionate care throughout every stage of your UFE procedure. If you have any questions or concerns, please do not hesitate to contact us at any time.

Expert Specialists

Certified fibroid specialists with extensive expertise in performing UFE.

Patient-Centered Care

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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