6 doctors weighed in:

What are the pros and cons of having a uterine fibroid embolization?

6 doctors weighed in
Dr. Kevin Carson
Radiology - Interventional
1 doctor agrees

In brief: More good than bad.

Con: you still have a uterus.
Therefore there is a small recurrence rate. Pros: Shorter recovery time No surgical incisions Highly effective when there is good patient selection Less complications Keep your uterus

In brief: More good than bad.

Con: you still have a uterus.
Therefore there is a small recurrence rate. Pros: Shorter recovery time No surgical incisions Highly effective when there is good patient selection Less complications Keep your uterus
Dr. Kevin Carson
Dr. Kevin Carson
Thank
Dr. John Lipman
Radiology
1 doctor agrees

In brief: Keep your uterus !

UFE is safer, less expensive, less invasive, shorter recovery than hysterectomy and importantly you get to keep your uterus ! The uterus is not just for child bearing; it's important for women psychologically, sexually, bone health, and possibly even heart health.
UFE is outpatient, go home with a bandaid. Recovery is ~5 days; out of work for 1 week. No reason to lose uterus over benign fibroids

In brief: Keep your uterus !

UFE is safer, less expensive, less invasive, shorter recovery than hysterectomy and importantly you get to keep your uterus ! The uterus is not just for child bearing; it's important for women psychologically, sexually, bone health, and possibly even heart health.
UFE is outpatient, go home with a bandaid. Recovery is ~5 days; out of work for 1 week. No reason to lose uterus over benign fibroids
Dr. John Lipman
Dr. John Lipman
Thank
1 comment
Dr. Michael Ginsburg
Completely agree. Compared to surgical alternatives, uterine fibroid embolization is associated with lower blood loss, decreased hospital stay, and decreased major complications. No surgical incision is needed—only a small nick in the skin. Plus, its associated with 90% success of producing significant reduction or complete resolution of their fibroid-related symptoms.
Dr. Chadi Zeinati
Radiology - Interventional

In brief: Depends on symptoms

Pros: minimally invasive.
Outpt setting vs 1 day stay for pain control, earlier return to normal activity, within a week usually. Kills all fibroids cons: premature menopause (depends on pt age) non target embolization, contrast nephropathy, vessel injury

In brief: Depends on symptoms

Pros: minimally invasive.
Outpt setting vs 1 day stay for pain control, earlier return to normal activity, within a week usually. Kills all fibroids cons: premature menopause (depends on pt age) non target embolization, contrast nephropathy, vessel injury
Dr. Chadi Zeinati
Dr. Chadi Zeinati
Thank
1 comment
Dr. John Lipman
Premature menopause not seen in patients <40. 40-45 only 1-2%. I've performed ~6,000 UFEs and I have never had a vessel injury, contrast nephropathy,or non-target embo. Use only small amounts of contrast (~60-100cc) and patients generally healthy. The risk for a patient dying during hysterectomy or myomectomy is much higher than non-target embolization, contrast nephropathy, or vessel injury.
Dr. Lillian Schapiro
Obstetrics & Gynecology

In brief: Pros and Cons

Pros: there is no incision.
Women tend to recover well. There is less time off from work. Cons: if trying to get pregnant, it can take months for your fibroids to shrink. Many radiologists will not do it if you plan to have children because it interferes with blood flow to the uterus. You still have the fibroids.You do not have a pathology report on the fibroids. Consider robotic myomectomy.

In brief: Pros and Cons

Pros: there is no incision.
Women tend to recover well. There is less time off from work. Cons: if trying to get pregnant, it can take months for your fibroids to shrink. Many radiologists will not do it if you plan to have children because it interferes with blood flow to the uterus. You still have the fibroids.You do not have a pathology report on the fibroids. Consider robotic myomectomy.
Dr. Lillian Schapiro
Dr. Lillian Schapiro
Thank
Get help from a real doctor now
Dr. Dennis Higginbotham
Board Certified, Obstetrics & Gynecology
28 years in practice
49M people helped
Continue
111,000 doctors available