1. How would you explain the hemorrhoid embolization procedure?

This modern procedure is a minor surgery performed under local anesthesia. Small particles are inserted through a catheter to block the artery that supplies blood to the hemorrhoid. The hemorrhoid then shrinks, and the recovery starts. The recovery is less painful compared to traditional surgery.

2. Will I be in pain if I choose hemorrhoid artery embolization?

No. The entire journey of having a hemorrhoid artery embolization is usually not painful. Patients often experience mild discomfort during the procedure. The minor discomfort the patient may experience can be alleviated with over-the-counter medications.

3. Should I go for hemorrhoid embolization if my case is severe?

Hemorrhoid embolization is usually effective for most patients. But, it may not be the best decision if your hemorrhoids are larger or the case is complicated. In such cases, specialists generally recommend going with a traditional surgery.

4. How do I know if hemorrhoid embolization is risky or not?

Here’s a fact you must know: the hemorrhoid embolization technique is known to be the safest. It is a minor surgery where slight discomfort is only felt during the procedure. The pain in the recovery phase is bearable. It all depends on the hygiene and care the patients take to avoid getting the catheter insertion area infected.

5. Will I have to take a long leave from work after hemorrhoid embolization?

No, not at all. It will only take a day or two to get back on your feet. At most, a patient may take a week’s rest. With the flow of blood reduced, the hemorrhoids begin to shrink. The pain being bearable is not a point of concern when it comes to rejoining an active life.

UFE vs Myomectomy | Advantages of Embolization

UFE vs Myomectomy: What You Need to Know

Many women seeking relief from uterine fibroids symptoms prefer treatments that preserve their uterus. Two primary options available are Uterine Fibroid Embolization (UFE) and Myomectomy. Understanding the differences between these treatments helps make an informed decision.

What is Myomectomy?

Myomectomy surgically removes fibroids while leaving the uterus intact. The surgery can be done via:

Open Myomectomy: Large abdominal incision, requiring hospital stay and 6-8 weeks recovery.
Hysteroscopic Myomectomy: Minimally invasive, through the vagina for small fibroids.
Laparoscopic Myomectomy: Several small incisions in the abdomen, shorter recovery.

Risks include significant blood loss, potential need for blood transfusions, and possible future 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 risk of significant blood loss.
Shorter recovery time (typically less than one week).
Effectively treats all fibroids simultaneously.
Lower recurrence rate compared to myomectomy.
Fertility is typically preserved with successful pregnancies reported post-UFE.

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“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.”

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“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.”

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“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

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“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

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“I'd like to express my gratitude for taking care of me this past Monday for the venous procedure on my legs. Please extend my gratitude to the staff who took care of me, like Anissa Rodriguez, Josh Rush, Kerx, Maruli, Rosaline, and Daniela. You were all so very professional and kind.”

– Luis M.

Fertility Considerations:

Both procedures allow for future pregnancies. Myomectomy has traditionally been recommended for fertility; however, recent studies show fertility outcomes between UFE and myomectomy are similar. Myomectomy often recommends pregnancy within six months post-surgery to avoid fibroid regrowth and scar tissue issues, whereas UFE offers greater flexibility regarding pregnancy timing.

Long-Term Outcomes:

Myomectomy has a high recurrence rate (around 60% within five years).
UFE has a 90% effectiveness rate with significantly fewer recurrences.

Providers

William Julien, MD

Board-Certified Vascular Interventional Physician

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Mana Khatkar, PA-C

Certified Physician Assistant

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Anissa Rodriguez, NP-C

Certified Nurse Practitioner

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Gina Lowy, PA-C

Certified Physician Assistant

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Choosing the Right Treatment:

At South Florida Vascular Associates, our experienced interventional radiologists offer comprehensive consultations to help you understand all available options clearly and choose the best treatment for your needs.