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Are there fibroids too big or too many for UFE?

Dr Eisen Liang - Friday, May 25, 2018


Are there fibroids too big or too many for UFE?

Generally speaking, there is no fibroids too big or too many for UFE. In other words, there is no fibroid size limit for UFE. The recovery could be longer and more challenging with large fibroids. Giant fibroids as large as 4 kg has been embolised without significant side-effects or complications.

Whether there is one fibroid or multiple fibroids, blood is still supplied through the same 2 uterine arteries. As a result, regardless of how many fibroids there are, they are still treated by the same UFE procedure.

Although there is no upper limit of how big or how many fibroids can be treated, a uterus with bigger or more fibroids will have a larger volume to begin with, which means the treated uterus will also end up being bigger after treatment. We need to be realistic about uterine or fibroid shrinkage. The fibroids will shrink but will not completely disappear. Having said that, our study shows that over 90% of women treated with UFE were happy or very happy with the outcome.

Is UFE still a new procedure?

Dr Eisen Liang - Tuesday, May 01, 2018

female doctor and patient


Is UFE still a new procedure?


Definitely NOT. UFE has been performed since 1995. There have been numerous research publications documenting its safety and effectiveness. Many trials were conducted to compare UFE with hysterectomy. The outcomes are very similar between UFE and hysterectomy, in terms of symptom relief, patient satisfaction and quality of life improvement. Long-term outcome study with 10-year follow up has been done. There are even socioeconomic studies on UFE vs hysterectomy. That’s why UFE is no longer experimental by any means. UFE is a well-established and thoroughly researched procedure for treating fibroids.