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?

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