Does UFE Work on Large Fibroids? A Comprehensive Look at UFE for Fibroids Treatment

Uterine fibroids are common, non-cancerous growths in the uterus, often affecting women of reproductive age. They can vary in size, from tiny nodules to large masses that may cause discomfort or complications such as heavy menstrual bleeding, pelvic pain, and urinary issues. While fibroids are typically treated with medications or surgical procedures, Uterine Fibroid Embolization (UFE) has emerged as a highly effective alternative for many women, even those with large fibroids. In this article, we will explore whether UFE is effective on large fibroids and how it compares to traditional treatments.

What is UFE for Fibroids?

UFE (Uterine Fibroid Embolization) is a minimally invasive procedure designed to treat fibroids by blocking the blood supply to the fibroids. By injecting tiny particles into the arteries that supply blood to the fibroids, the procedure cuts off their blood flow, causing the fibroids to shrink over time. UFE is often considered a non-surgical option for women who prefer to avoid the risks and recovery time associated with surgery.

Unlike traditional methods such as hysterectomy (removal of the uterus) or myomectomy (surgical removal of fibroids), UFE is performed through a catheter inserted into an artery, typically through the groin or wrist. The procedure can take about an hour and requires only a small incision.

Effectiveness of UFE on Large Fibroids

When it comes to treating large fibroids, UFE has shown to be highly effective in many cases. Research and clinical studies suggest that UFE works well on fibroids of varying sizes, including those that are large. Many patients who undergo UFE for large fibroids experience significant relief from symptoms such as heavy bleeding, pelvic pressure, and discomfort.

In fact, studies indicate that the procedure can shrink fibroids by 30-50% within a few months after treatment, and in some cases, the fibroids can shrink by as much as 80% over time. Though fibroids may not always disappear completely after UFE, their reduction in size and the alleviation of symptoms often make the procedure highly successful, especially for women who wish to avoid a hysterectomy or other more invasive treatments.

Factors That Affect the Success of UFE on Large Fibroids

While UFE has proven to be effective for large fibroids, there are certain factors that can influence the success of the procedure. The size, number, and location of the fibroids are important considerations when determining whether UFE will be the best treatment option.

1.      Fibroid Size: UFE has shown to be effective for fibroids ranging from small to large, though larger fibroids (greater than 10 cm) may not shrink as dramatically as smaller ones. However, the treatment can still significantly improve symptoms and quality of life. Even with larger fibroids, UFE can reduce the blood flow and cause them to shrink to a manageable size.

2.      Fibroid Location: The location of the fibroids in the uterus can impact how well UFE works. Fibroids located on the outer surface or in areas that are harder to reach may not respond as effectively to the procedure. However, fibroids located within the wall of the uterus or in the lining often shrink more quickly after UFE.

3.      Number of Fibroids: Women with multiple fibroids may experience different results than those with just one or two. However, UFE can treat multiple fibroids at once, which can be especially beneficial for women with a high fibroid burden.

Advantages of UFE for Large Fibroids

UFE offers several benefits over traditional surgical treatments, particularly for women with large fibroids. Some of the key advantages include:

·         Minimally Invasive: UFE does not require major surgery, reducing the risk of complications such as infections or scarring. It also requires only a small incision, which means a shorter recovery time.

·         Faster Recovery: Unlike hysterectomy or myomectomy, UFE typically has a recovery time of only 1-2 weeks, with most women able to return to normal activities within a month.

·         Preservation of the Uterus: UFE preserves the uterus, which is particularly important for women who wish to retain their fertility. In contrast, a hysterectomy involves the removal of the uterus, eliminating the possibility of future pregnancies.

·         Effective Symptom Relief: Even for large fibroids, UFE can provide significant symptom relief. Many women experience less heavy bleeding, reduced pelvic pain, and a general improvement in their quality of life following the procedure.

Is UFE Suitable for Every Woman with Large Fibroids?

While UFE is a highly effective treatment for many women, it is not suitable for everyone. Women who are pregnant, those with certain medical conditions (such as pelvic infections), or those with fibroids that are inaccessible may not be candidates for UFE. It’s essential to consult with a skilled interventional radiologist to determine if UFE is the right treatment based on individual factors.

Conclusion

UFE (Uterine Fibroid Embolization) is a safe, effective, and minimally invasive treatment for women with fibroids, including large ones. It can significantly reduce symptoms, improve quality of life, and offer an alternative to more invasive procedures like hysterectomy. If you have large fibroids and are looking for a non-surgical solution, UFE may be a great option. Speak with a medical professional to learn more about the procedure and whether it is right for you.