UFE vs. Myomectomy: Effectiveness, Recovery Time, and Risks Compared

Uterine fibroids are a common condition affecting many women, leading to symptoms such as heavy menstrual bleeding, pelvic pain, and fertility concerns. When it comes to treatment, UFE (Uterine Fibroid Embolization) and Myomectomy are two of the most widely used procedures. Both aim to relieve fibroid symptoms, but they differ in terms of effectiveness, recovery time, and risks. Understanding the key differences can help you make an informed decision about the best treatment option for your needs.

What is UFE (Uterine Fibroid Embolization)?

Uterine Fibroid Embolization (UFE) is a minimally invasive, non-surgical procedure that blocks blood flow to fibroids, causing them to shrink over time. This procedure is performed by an interventional radiologist who inserts a catheter into the uterine artery and injects tiny embolic particles to cut off the fibroids' blood supply.

Key Benefits of UFE:

✔ Non-surgical, minimally invasive procedure
✔ No incisions or stitches required
✔ Shorter recovery time compared to surgery
✔ Preserves the uterus and avoids major complications
✔ Effective in reducing heavy bleeding and fibroid-related pain

What is Myomectomy?

A Myomectomy is a surgical procedure that removes fibroids from the uterus while preserving the organ. It is often recommended for women who want to maintain fertility and plan for future pregnancies. Myomectomy can be performed in different ways:

• Hysteroscopic Myomectomy – For fibroids inside the uterus, performed through the vaginal canal
• Laparoscopic Myomectomy – A minimally invasive approach using small incisions
• Open Myomectomy (Abdominal Myomectomy) – A major surgical procedure with a larger incision

Key Benefits of Myomectomy:

✔ Removes fibroids while preserving the uterus
✔ Suitable for women planning to conceive
✔ Immediate symptom relief

Effectiveness: Which Procedure Works Best?

Both UFE and Myomectomy effectively treat fibroid symptoms, but they work differently.

• UFE shrinks fibroids over time rather than removing them immediately. Studies show that 85-90% of women experience symptom relief after UFE. However, it is not ideal for women planning a pregnancy, as its impact on fertility is still debated.
• Myomectomy offers immediate removal of fibroids, making it a preferred choice for women who want to conceive. However, new fibroids may develop over time, leading to the need for future treatments.

Which is More Effective?

• For symptom relief: Both UFE and Myomectomy are highly effective.
• For fertility preservation: Myomectomy is generally recommended over UFE.

Recovery Time: Which Option is Faster?

UFE Recovery Time:

• Outpatient procedure (most patients go home the same day)
• Most women resume normal activities within 1-2 weeks
• Some post-procedure discomfort, similar to menstrual cramps, managed with medication

Myomectomy Recovery Time:

• Hysteroscopic Myomectomy – Recovery in 1-2 weeks
• Laparoscopic Myomectomy – Recovery in 2-4 weeks
• Open Myomectomy – Recovery in 4-6 weeks due to the larger incision

Which Has a Faster Recovery?

• UFE has a much shorter recovery period compared to Myomectomy, especially the open surgical approach.

Risks & Complications: What to Expect?

Risks of UFE:

⚠ Temporary post-procedure pain and cramping
⚠ Possible discharge of fibroid tissue
⚠ Slight risk of infection
⚠ Small chance of early menopause in some women

Risks of Myomectomy:

⚠ Increased risk of bleeding and infection
⚠ Uterine scarring that may affect future pregnancies
⚠ Risk of fibroid recurrence (new fibroids may develop)
⚠ Longer recovery time compared to UFE

Which is Safer?

• UFE is less invasive and carries fewer risks compared to Myomectomy, which involves surgery and potential complications such as excessive bleeding and uterine scarring.

Which Treatment is Right for You?

Consider UFE if:
✔ You want a non-surgical, fast-recovery option
✔ You are not planning a pregnancy
✔ You prefer a minimally invasive procedure

Consider Myomectomy if:
✔ You are planning to have children
✔ You prefer immediate fibroid removal
✔ You are willing to undergo surgery and a longer recovery

Conclusion

UFE vs Myomectomy are effective treatments for uterine fibroids, but the right choice depends on your individual needs. If you want a non-surgical, quick recovery option, UFE is a great choice. However, if you are focused on fertility preservation, Myomectomy is generally the recommended option.

Before deciding, consult a gynecologist or interventional radiologist to discuss your specific case and determine the best treatment for you. By understanding the differences in effectiveness, recovery, and risks, you can make a more informed decision that aligns with your health and lifestyle goals.