UFE vs Myomectomy: Comparing Two Fibroid Treatment Options

 When uterine fibroids begin causing heavy bleeding, pelvic pain, or pressure, many women explore treatment options beyond medication. Two commonly recommended procedures are UFE and myomectomy. Understanding the differences between these treatments can help you decide which approach aligns best with your health goals. This guide explains the comparison between Ufe Vs Myomectomy, including how each works, recovery expectations, and important considerations.

What Is UFE?

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure performed by an interventional radiologist. Instead of surgically removing fibroids, UFE works by blocking the blood supply that allows them to grow.

During UFE:

  • A small catheter is inserted through the wrist or groin.
  • The catheter is guided to the uterine arteries using imaging technology.
  • Tiny embolic particles are released to block blood flow to the fibroids.

Without adequate blood supply, fibroids gradually shrink over time. As they shrink, symptoms such as heavy menstrual bleeding and pelvic pressure often improve.

UFE preserves the uterus and does not require large surgical incisions.

What Is a Myomectomy?

A myomectomy is a surgical procedure that removes fibroids while leaving the uterus intact. Unlike hysterectomy, which removes the entire uterus, myomectomy targets only the fibroids.

There are different types of myomectomy:

  • Abdominal myomectomy: Open surgery through a larger incision
  • Laparoscopic or robotic myomectomy: Minimally invasive surgery using small incisions
  • Hysteroscopic myomectomy: Removal of fibroids through the vagina and cervix without external incisions (used for specific fibroid locations)

Myomectomy physically removes fibroids, which may be preferred in certain cases, especially when fertility is a primary concern.

Key Differences Between UFE and Myomectomy

Although both treatments preserve the uterus, they differ in important ways.

Procedure Type

  • UFE is a non-surgical, minimally invasive procedure performed through blood vessels.
  • Myomectomy is a surgical operation that removes fibroids directly.

Anesthesia

  • UFE is typically performed with local anesthesia and sedation.
  • Myomectomy usually requires general anesthesia.

Recovery Time

  • Most women return to normal activities within one to two weeks after UFE.
  • Recovery after myomectomy can range from two to six weeks, depending on the surgical approach.

Fibroid Removal vs. Shrinkage

  • UFE shrinks fibroids by cutting off their blood supply.
  • Myomectomy removes fibroids entirely during surgery.

Risk of Recurrence

Because UFE shrinks existing fibroids but does not remove the uterus, new fibroids may develop over time. Similarly, myomectomy removes current fibroids, but new ones can still form later. Neither procedure guarantees that fibroids will never return.

Fertility Considerations

Fertility goals often influence the choice between UFE and myomectomy.

Myomectomy has traditionally been recommended for women who wish to become pregnant because it removes fibroids while preserving the uterus. UFE may also preserve the uterus, but its impact on future pregnancy should be discussed carefully with a specialist. Individual factors such as fibroid size, location, and overall reproductive health play an important role in determining suitability.

Risks and Complications

All medical procedures carry potential risks.

UFE Risks May Include:

  • Temporary pelvic pain or cramping
  • Mild fever or fatigue
  • Infection (rare)

Myomectomy Risks May Include:

  • Bleeding
  • Infection
  • Scar tissue formation
  • Possible need for future cesarean delivery, depending on uterine incisions

Because myomectomy is surgery, it typically involves a higher level of invasiveness compared to UFE.

Which Option May Be Right for You?

Choosing between UFE and myomectomy depends on several factors:

  • Severity of symptoms
  • Number, size, and location of fibroids
  • Desire for future pregnancy
  • Personal preference regarding surgery
  • Overall health condition

Some women prefer UFE because it avoids major surgery and offers a shorter recovery period. Others may choose myomectomy if direct removal of fibroids aligns better with their reproductive goals.

A comprehensive evaluation, including imaging tests and a detailed discussion of your medical history, is essential before making a decision.

For women seeking minimally invasive fibroid treatment options and personalized care plans, you can explore more information at USA Fibroid Centers.

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