How does UFE (Uterine Fibroids Embolisation) compare with hysterectomy?
Here’s a summary table comparing UFE and hysterectomy:
| UFE | Hysterectomy | |
| Procedure type | Minimally invasive radiological | Major abdominal surgery |
| Anaesthesia | Local with sedation | General |
| Uterus preservation | Yes | No |
| Recovery time | 1 night in hospital
1 week off work |
4-8 weeks |
| Fertility | Possible | Eliminated |
| Effectiveness | High | High |
| Cost | Generally lower | Generally higher |
| Major complication risk | Lower | Higher |
| Long-term side effects
|
Virginal discharge
Sloughing of fibroid tissue Might require a curette procedure |
Prolapse / Incontinence
Sexual dysfunction Earlier menopause Increased coronary heart disease |
Here are the pros and cons of UFE vs hysterectomy:
Pros of UFE:
– Preserves the uterus and fertility
– Shorter recovery time
– Lower risk of major complications
– Less invasive
– Generally lower cost
Cons of UFE:
– Submucosal fibroids near the cavity might cause sloughing issues
– Possibility of fibroid / symptom recurrence, although very rare
Pros of Hysterectomy:
– Immediate and Permanent solution for fibroids
– Eliminates risk of uterine cancer ( although sarcoma risk is very rare, 3/1,000 hysterectomies, and the risk can be eliminated with MRI)
Cons of Hysterectomy:
– Loss of fertility
– Longer recovery time
– Higher risk of complications
– Potential long-term hormonal effects
– More invasive
Why should women try to avoid hysterectomies? Risks and Side Effects
In conclusion, the choice between UFE and hysterectomy depends on individual factors such as desire for future fertility, fibroid characteristics, overall health, and personal preferences. It’s crucial for patients to discuss these options thoroughly with their healthcare providers to make an informed decision.
Shrinking Fibroids to avoid Hysterectomy – How does UFE work?