UFE or Myomectomy if you wish pregnancy?

Published On: March 2, 2023

Once you read through the following text, the choice will be clear and easy!

Here we go!  UFE Myomectomy
 

Type of surgery

 Minimally invasive

(The iPhone of procedures!)

 Conventional surgery (Cutting through the belly!)
Setting Outpatient Hospital
Length Same day procedure Hospital stay
Time One hour procedure 3-5 hours
Recovery 5-7 days 6-8 WEEKS!
Anesthesia Deep sedation (IV) General anesthesia
Scars None Incisions and holes
 

 

Complications

  

 

Lowest profile

 Excessive blood loss

Venous and pulmonary thromboembolism

Abscesses
 

Uterine rupture

 Never Real risk on subsequent pregnancies
Pregnancy after 58% 57%

 

Now get this:

You probably have heard of “Fancy new surgery techniques for myomectomy and hysterectomy” advertised out there such as Laparoscopy, LAAM, Dual Port, robotic, etc.

You have also probably noticed that their advertising focus is mainly on the size of the skin incision and time of surgery…

What you never hear is the following:

These procedures are still just conventional surgery!! They cannot be called minimally invasive. The only minimally invasive procedure for fibroids is the UFE.

These procedures are not a definitive one-stop shop. Your fibroids will come back 60% of the time.

These procedures do cut through the lining of your uterus which is more likely to cause thickening of your lining and recurrent bleeding with a vengeance down the road. We see that all the time!

The risk of hysterectomy secondary to complications is real and you will have to sign a consent for hysterectomy ahead of time!

Instruments for these procedures will be introduced in your abdomen.

The risk of converting to a big incision during these procedures is real.

Instruments will manipulate, move, and cut through structures that have nothing to do with the uterus.

The risk of injury to other organs is real, especially to the bladder, urine tubes and the bowel.

The risk of infection and abscess formation is real.

Adhesions and scars will form after these procedures.

Want more?

Here’s a quick glance at the complication list of myomectomies:

  1. C-section
  2. Abnormal attachment of the placenta
  3. Miscarriage
  4. Preterm labor
  5. Uterine rupture
  6. Uterine rupture can cause:

a. Oxygen deprivation to the fetus.

b. Brain damage to the fetus.

c. Cerebral palsy to the fetus.

d. Fetal death.

e. Severe bleeding for the mother.

In fact, The World Fibroid Registry has clearly indicated that uterine rupture after myomectomy is grossly underreported or overlooked.