As interventional radiologists, we always want patients to consider every fibroid treatment option. And, we want women to find the least-invasive treatment that will provide them with symptom relief. That’s why we are so excited about the results of a new, 10 year EMMY study. Its findings reveal that Uterine Fibroid Embolization provides similar symptom relief to hysterectomy!
Women with Fibroid Symptoms Find Relief
The study followed women who treated fibroids that caused heavy menstrual bleeding. Researchers compared two groups: those who’d had UFE and those who’d had hysterectomy. Women in both groups reported on their clinical results and on improvements in their overall quality of life.
Here’s the great news: after 10 years, two thirds of the UFE patients had no need for a hysterectomy. That’s because their symptoms had resolved. Around 35% of the UFE women did go on to have a hysterectomy, but the rest of the women found relief without radical surgery. It should be noted that, even within the hysterectomy group, 17% of the women required follow-up surgical procedures.
Jim Reekers, lead researcher, says: “After 10-years of follow-up, about two thirds of patients with symptomatic uterine fibroids, who undergo treatment with embolization can avoid a hysterectomy.”
He went on to state that after 10 years, women in both the UFE and hysterectomy groups had similar quality of life results. In conclusion, he said, “Uterine artery embolization is a well-documented and good alternative to hysterectomy for symptomatic uterine fibroids, on which all eligible patients should be counselled.”
History of Uterine Artery Embolization
Uterine artery embolization, or uterine fibroid embolization, has been a viable fibroid treatment option since 1995. So why aren’t more women opting for this less invasive procedure? The sad answer is: many women don’t even know it’s an option.
As Reekers told Interventional News: “Not informing patients about uterine fibroid embolization, when these 10-year data are available, is unethical. Uterine fibroid embolization is an interventional radiology procedure that has level one evidence to back its use. In this trial, we treated the worst end-stage scenario without any reintervention, so real world outcomes for embolization will be even better.”
UFE vs. Hysterectomy: Equal Results, Traumatic Differences
In conclusion, study authors found that UFE is a very effective fibroid treatment option. In fact, it was just as effective as hysterectomy. As the study authors reported, ““After 10 years, generic health-related quality of life remained stable, without differences between both groups. The urogenital distress inventory and the defecation distress inventory showed a decrease in both groups, without significant differences between study arms, but with a trend towards better outcome for uterine artery embolization.”
But, there is one big difference between the two treatment options. UFE’s recovery time is, typically, a few days. The aftermath of a hysterectomy can be felt for months, and even years, following the procedure. Given that fact, doctors owe it to their patients to share UFE information. And if your doctor isn’t telling you about this treatment option, come into our Houston area offices to learn more.
Sources: American Journal of Obstetrics and Gynaecology, interventionalnews.com