Uterine Fibroid Embolization or Myomectomy: What You Need to Know
Uterine fibroids occur in more than three million women in the United States annually.
The symptoms of uterine fibroids can vary from woman to woman. Some women may never have symptoms. Others might experience heavy and prolonged menstrual periods, pelvic pain, or frequent urination. The severity of the symptoms can also vary, depending on the size and location of the fibroids.
Treatment options for uterine fibroids depend on various factors, including symptoms' severity, the fibroids' size and location, and the patient's desire to bear children. Treatment might involve monitoring the growth of the fibroids and administering medications. Large or numerous fibroids might require medical intervention.
Two of the most commonly performed procedures for symptomatic uterine fibroids are myomectomy and uterine fibroid embolization (UFE). While both approaches can relieve symptoms, they are fundamentally very different procedures.
If you suspect you have uterine fibroids, the specialists at Georgia Fibroids offer in-depth experience in performing minimally invasive procedures that can dramatically reduce fibroid symptoms and preserve reproductive health.
Let's take a deeper look at the differences between myomectomy and UFE in Atlanta.
How Is a Myomectomy Performed?
A myomectomy is a surgical procedure to remove uterine fibroids while preserving the uterus.
There are different types of myomectomy procedures.
- Abdominal myomectomy. During an abdominal myomectomy, a surgical incision is made in the lower abdomen to access the uterus. The fibroids are carefully removed, and the uterus is repaired and sutured. This procedure requires a longer recovery time compared to other methods.
- Laparoscopic myomectomy. This minimally invasive technique involves making several small incisions in the abdomen. A laparoscope is a long, narrow tube fitted with a camera. The device is inserted to guide the surgeon in removing the fibroids. This method typically results in shorter recovery time and less scarring.
- Hysteroscopic myomectomy. This type of myomectomy is performed through the vaginal canal and cervix without any external incisions. Hysteroscopy is used to visualize and remove fibroids inside the uterine cavity. This method suits small fibroids that do not protrude into the uterus.
The choice of procedure depends on variables such as the size, quantity, and location of the fibroids, as well as the woman's personal preferences and medical history.
It is important to note that a myomectomy is a surgical procedure and, like any surgery, carries certain risks. These risks include bleeding, infection, damage to surrounding organs, and potential complications during future pregnancies. Therefore, women must have an open conversation with their healthcare provider to identify the optimum treatment option.
How Is Uterine Fibroid Embolization Performed?
UFE is a minimally invasive approach used for the treatment of symptomatic fibroids. This non-surgical treatment is a highly effective alternative to surgical interventions like myomectomy or hysterectomy.
During the UFE procedure in Atlanta, one of our skilled radiologists will use real-time imaging to guide a catheter through a small incision in the wrist or groin. The catheter is guided through the uterine arteries, which supply blood to the fibroids. Once in position, tiny particles are introduced through the catheter to inhibit the blood flow to the fibroids. Without a supply of blood, the fibroids will shrink and eventually die.
Myomectomy or Embolization?
UFE offers several advantages over traditional surgical approaches like myomectomy. It is a less invasive procedure that can be performed on an outpatient basis, negating the need for hospitalization. Recovery time is typically shorter than surgery, with most patients resuming their regular activities within a week. Additionally, UFE is an excellent option for women with numerous fibroids located in different sections of the uterus. All fibroids can be treated simultaneously.
Although both procedures can successfully treat fibroids, there are distinct differences that merit examination.
UFE
- Only requires a mild sedative
- Short recovery time
- Performed with one puncture – no stitches necessary
- No hospitalization
- Fibroids do not regrow
Myomectomy
- General anesthesia needed
- Requires roughly six weeks' recovery time
- Performed with an incision and stitches
- Hospitalization required
- Fibroids can regrow
The effectiveness of UFE in treating uterine fibroids has been well-documented. Studies have shown that UFE can provide a long-term reduction in fibroid-related symptoms like heavy menstrual bleeding, pelvic pain, and urinary frequency. Uterine fibroid embolization has an approximate success rate of 85%. It has also been found to be a reliable and safe treatment option for women of various age groups.
Dedicated Georgia Fibroid Specialists
Georgia Fibroids offers an innovative approach to fibroid management. If you struggle with debilitating uterine fibroid symptoms, please get in touch with our caring representatives to to find out if our minimally invasive UFE procedure in Atlanta is right for you. Schedule a consultation today.
