If you’ve been diagnosed with uterine fibroids, you may already know that treatment options vary. Two common approaches are myomectomy (a surgical procedure) and uterine fibroid embolization (UFE), a minimally invasive alternative. Understanding the differences can help you make a confident, informed decision.

What is Myomectomy?

A myomectomy is a surgical procedure to remove fibroids while preserving the uterus. It can be performed through:

• Abdominal Myomectomy: Fibroids are removed through a larger cut in the lower belly. This approach is used for bigger fibroids or when there are many. It leaves a visible scar and usually takes longer to heal.
• Laparoscopic Myomectomy: Fibroids are removed through a few small cuts in the belly using a camera and special tools. Recovery is faster, with less bleeding and scarring compared to open surgery.
• Robotic Myomectomy: Similar to laparoscopy, but the surgeon uses robotic arms for more precision. It offers quicker recovery and fewer complications than open surgery, though it may take longer and cost more.
• Hysteroscopic Myomectomy: A thin scope is inserted through the vagina and cervix to remove fibroids inside the uterus. Best for smaller, submucosal fibroids. Larger ones may require multiple procedures.

Limitations of Myomectomy:

• Invasive procedure – often requires general anesthesia and hospitalization.
• Longer recovery – downtime can range from 2 to 6 weeks depending on the approach.
• Recurrence risk – fibroids may grow back, leading to repeat surgeries.
• Surgical scars – visible scars (in open surgery) and potential impact on future pregnancies.

Why Consider Uterine Fibroid Embolization (UFE)?

Uterine Fibroid Embolization (UFE) is a non-surgical, minimally invasive treatment performed by an interventional radiologist. Instead of removing fibroids, UFE works by blocking their blood supply, causing them to shrink and symptoms to improve.

Unlike myomectomy, UFE treats all fibroids at once, including those too small or hard to remove surgically.

How is Uterine Fibroid Embolization (UFE) different?

• No major surgery – performed through a tiny puncture in the wrist or groin.
• Outpatient procedure – most patients go home the same day.
• Preserves the uterus while avoiding the risks of open surgery.

Key Benefits of Uterine Fibroid Embolization (UFE) Over Myomectomy

• Faster recovery – most women return to normal activity in 7–10 days, compared to weeks after surgery.
• No surgical scars – only a small puncture mark that fades with time.
• Lower complication risk – avoids risks of open surgery such as heavy bleeding, infection, or adhesion formation.
• Treats all fibroids at once – not limited to removing visible or accessible fibroids.
• Preserves the uterus – while avoiding the invasiveness of surgery.

Which Option is Right for You?

The choice between myomectomy and UFE depends on your symptoms, medical history, fertility goals, and personal preference. While myomectomy may be recommended in certain cases, UFE offers a highly effective, minimally invasive alternative for many women.

Both myomectomy surgery and uterine fibroid embolization are proven treatments for fibroids. Your decision may depend on:

• Symptom severity
• Future pregnancy goals
• Overall health and medical history
• Personal preference for surgical vs. non-surgical options

For women who want to avoid surgery, scars, and long recovery times, UFE offers a highly effective, minimally invasive solution.