UFE vs. Ablation

UFE vs Myomectomy vs Ablation: Understanding Your Options

Women suffering from uterine fibroids symptoms typically prefer treatments that preserve their uterus. The three main uterine-sparing treatments available are Uterine Fibroid Embolization (UFE), Myomectomy, and Endometrial Ablation. Understanding each procedure helps make an informed decision.

What is Myomectomy?

Myomectomy involves surgically removing fibroids while leaving the uterus intact. It can be performed via:

• Open Myomectomy: Requires a large abdominal incision, hospitalization, and a 6-8 week recovery.
• Hysteroscopic Myomectomy: Minimally invasive, through the vagina, suitable for small fibroids.
• Laparoscopic Myomectomy: Minimally invasive with smaller abdominal incisions, leading to a shorter recovery.

Risks include significant blood loss, potential blood transfusions, and the possibility of further surgeries due to incomplete fibroid removal.

What is UFE?

Uterine Fibroid Embolization (UFE) is a minimally invasive outpatient procedure performed by an interventional radiologist. Under sedation, a small needle puncture in the wrist or groin is used to insert a catheter. Embolic particles are then injected to block blood flow to the fibroids, causing them to shrink significantly and resolve symptoms typically within three months.

Advantages of UFE:

• Minimal blood loss and lower risk.
• Shorter recovery (typically less than a week).
• Addresses all fibroids simultaneously.
• Lower recurrence rate compared to myomectomy.
• Fertility preservation with reported successful pregnancies post-UFE.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

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– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

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– Robert G.

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– Felix G.

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– Luis M.

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What is Endometrial Ablation?

Endometrial ablation involves removing or destroying the lining of the uterus, typically to reduce heavy menstrual bleeding. It does not eliminate fibroids or their growth and symptoms.

Key Differences Between Ablation and UFE:

Fertility Considerations:

• Myomectomy is traditionally recommended for fertility; however, recurrence and scar tissue may complicate future pregnancies.
• UFE offers similar fertility outcomes with greater timing flexibility for pregnancy.
• Endometrial Ablation significantly reduces or eliminates the possibility of safe pregnancy post-procedure.

Long-Term Outcomes:

• Myomectomy has a high fibroid recurrence rate (~60% within five years).
• UFE demonstrates a 90% success rate with minimal recurrence.
• Ablation does not address fibroids, and symptoms may persist or recur.

Providers

William Julien, MD

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Board-Certified Vascular Interventional Physician

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Mana Khatkar, PA-C

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Certified Physician Assistant

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Anissa Rodriguez, NP-C

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Certified Nurse Practitioner

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Gina Lowy, PA-C

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Certified Physician Assistant

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Choosing the Right Treatment:

At South Florida Vascular Associates, our expert interventional radiologists provide detailed consultations to explore all treatment options and help choose the best procedure for your individual needs.