I Just Found Out I Have Fibroids That Need Treatment. Should I Have Hysterectomy? Myomectomy? Or Embolization (UFE)?
Published On: February 6, 2020
If you have been diagnosed with symptomatic fibroids and you were offered surgical treatment, chances are you were told your only options are hysterectomy or myomectomy. Hysterectomy is the removal of the uterus even if it’s called partial hysterectomy or total hysterectomy. Myomectomy is the removal of one or many fibroids at the same time. It is impossible for myomectomy to remove all the fibroids you have. Small fibroids are ready to take over the blood supply diverted from the first surgical myomectomy and its just question of time before they show up again with symptoms sometimes more pronounced. In addition, we have seen patients who ended up with bad adenomyosis after these surgeries.
So How Are Hysterectomy Or Myomectomy Done?
OPEN SURGERY: The skin, fat, muscle and fascias are cut and direct conventional surgery is performed with instruments introduced into the belly for dissection cutting, irrigation, suction, suturing etc.
LAPAROSCOPIC SURGERY: Sometimes called in a fancy way “Robotic surgery” or “LAAM: Laparoscopic-assisted abdominal myomectomy” or LAAM-BUAO for Bilateral uterine artery occlusion” or “Dual port”. Well, to simplify things what really happens is that instead of one continuous incision line, several holes are made in the abdominal wall called access points/ports. Then the instruments still go inside the abdomen, come into contact with other organs, cuts and incisions are made which lead to scars.
A picture is worth a thousand words!!
Not so minimally invasive after all!
Now whether you undergo an open hysterectomy/myomectomy or a laparoscopic hysterectomy/myomectomy in the form of Dual port, LAAM, LAMM-BUAO or whatever the fancy names are, the instruments will cross into the abdomen, come into contact with other organs that have nothing to do with fibroids with a real risk of serious complications such as injuring the bladder, the bowel, the urinary system which may require additional surgical procedures to repair, incisions will be made to the uterus, scars and fibrous tissue will form. Let alone the risk of abscess and infection that comes with these traditional surgeries. But even with all these risks, your gynecologist will never commit to the following answer: “Your fibroids will not come back and new ones won’t develop” simply because there is a 62% chance they are coming back or new ones will form.
What’s more, once you sign up for a myomectomy, you will sign up for a possible hysterectomy and blood transfusions if things don’t go well while you are under anesthesia.
If everything goes without complications, now the road to recovery is another challenge and may take a long time.
Now compare the above procedures to the Uterine Fibroid Embolization, sometimes referred to as uterine artery embolization or UFE:
It is the only truly minimally invasive procedure for fibroids. No cuts or incisions.
Never touches any other organs inside the abdomen so no scars.
There’s virtually zero risk of injury to any other organs since embolization is well controlled in experts’ hands.
UFE takes one hour and you go home the same day.
Recovery is only few days.
All the fibroids you have will be treated once and for all regardless of number, size or location AND they are not coming back.
I highly recommend Dr.GauGau for fibrioid procedures. First Dr. GauGau was informative about the procedure from beginning to the end. The office staff was extremely friendly and also answered any questions I had. The day of the procedure the nurse practitioner was AMAZING. She made me feel confortable and prepared. This is the best decision I’ve made, it’s been a week since the surgery and I feel normal. I’ve already recommended this to my friends who is having the same issues as me
Ladies! Ladies! Ladies!Call Dr. Gaugau's ofc ASAP so you can be more informed. Hysterectomy doesnt nessecarily have to be the end all be all.From the time I walked in the door I was met with smiles and professionalism. Kesha and Dawn were a delight. Not knowing what to expect, this made me feel at ease. My initial visit I found Dr. GauGau's bedside manner to be refreshing. He wasnt rushing, provided eye contact, spoke in terms that I could understand, and he made feel like asking questions was not a "bad thing". I had tons of them lol, so his patience and humor was appreciated. He was very thorough with the reviewing of my MRI and option choices based on what was found. That too made me feel comfortable with whatever decision was to come. I chose uterine fibroid embolization (UFE).The day of surgery, nurse Bonnie also provided great care ensuring ultimately that i was comfortable. Im still recoverying, but UFE was a choice i do not regret!!
Ms. Keisha and Dr.GauGau were like a dream. They were professional, personable, and warm. It was very easy talking to them about difficult topics such as infertility. Look no further he is your Doctor!
Dr.GauGau is kind, cares and he calls personally if there is a concern, he provides detailed explanation of your situation, provide all options and gives suggested recommendations on what is best, allows you to ask questions, and can contact him if you have any concerns and the staff is so nice. Working to schedule my procedure.
This center is great. The staff and customer service is exceptional. I would recommend this place any day. My experience was wonderful, I went to doctor Gaugau scared and in tears and he made sure I was ok through my whole procedure and I get to have more babies ! Thank you for the excellent work
Very professional staff. Dr. G and nurse Bonnie answered all my concern questions and made me comfortable during the day of surgery. Now I’m feeling better day by day and looking forward to a great future.. I would definitely recommend The Fibroid Center.
If I could have a doctor like Dr.G at every appointment in life, I’d always be in good hands. Scheduling was easy & quick. Care during my procedure & Follow-up post procedure was amazing! I’m only a few weeks post ufe, and it feels good to finally get some sense of normalcy back after suffering for years. If you’re suffering from fibroids you’ll be in good hands with Dr.G. The reviews don’t lie
My experience with Dr. Gaugau and his staff was wonderful! I would recommend him to anyone considering embolization. I experienced cramping after which is normal. Dr. Gaugau and Bonnie was excellent in explaining what I may experience so I knew what to look out for. I'm still recovering and quite quickly I must say. My appetite is not fully back but I do feel better each day!
Dr. GauGau is amazing. He has a wonderful bedside manner. He is knowledgable, patient, and he hears you. He really hears you. He's warm and personable, and I couldn't ask for a better doctor. I had an embolization in 2022, only learning that I had fibroids two months prior. Making appointments was easy. His staff is just as personable. Everyone there just wants to help Six months after my procedure, my fibroids were gone and my cycle was back to normal. I'd easily give him 15 out of 5 stars!!
Dr. Gaugau is recognized as TOP Interventional Surgeon throughout the Maryland region and appears as a Medical Expert on the TOP Doctors Interviews, which are seen on popular radio stations