UFE vs. Radiofrequency Ablation: Best Minimally Invasive Option
Women living with fibroids often say the condition affects nearly every part of their lives, from heavy bleeding and pain to fatigue, fertility concerns, and emotional wellbeing. These symptoms should never be dismissed as “just part of being a woman.” At Minima Radiology, we understand how disruptive fibroids can be and are committed to offering effective, minimally invasive solutions that help women regain control of their health. That’s why we’re comparing UFE vs radiofrequency ablation fibroids options.
In this guide, we explore the differences between Uterine Fibroid Embolization (UFE) and Radiofrequency Ablation (RFA) to help you better understand which option may be best suited to your needs. Understanding how each treatment works, and who it benefits most, is essential if you’re comparing UFE vs RFA, UFE vs Acessa, or UFE vs Sonata fibroids.
UFE vs Radiofrequency Ablation Fibroids: Understanding the Treatment Options
What Is Uterine Fibroid Embolization (UFE)?
Uterine Fibroid Embolization is a non-surgical procedure that works by blocking the blood supply to fibroids, causing them to shrink over time. The procedure is performed through a tiny catheter inserted via the wrist or groin, with no abdominal incisions.
One of the key advantages of UFE is its ability to treat all fibroids in the uterus at once, including those that are small, deeply embedded, or not yet causing symptoms. This makes it a strong option when weighing fibroid treatment: UFE or RF, radiofrequency ablation vs embolisation fibroids, or UFE vs laparoscopic radiofrequency ablation. UFE has also shown encouraging outcomes for selected patients considering future fertility, which is often part of the discussion around fertility after Acessa vs UFE.
What Is Radiofrequency Ablation (RFA)?
Radiofrequency Ablation uses controlled heat to destroy fibroid tissue. This approach includes technologies such as Acessa and Sonata, which are available in South Africa at selected centres.
- Acessa is a laparoscopic procedure that requires small abdominal incisions and general anaesthesia.
- Sonata is performed through the cervix without incisions, using ultrasound guidance.
RFA is most effective for women with a limited number of fibroids that are easy to access. However, because each fibroid must be treated individually, smaller or deeper fibroids may be missed, an important consideration when comparing Sonata vs UFE or Acessa vs uterine fibroid embolization.
Comparing UFE, Acessa, and Sonata at a Glance
For a clear overview of the differences between these treatments, see the table below:
| Feature | UFE (Uterine Fibroid Embolization) | Acessa (Radiofrequency Ablation) | Sonata (Radiofrequency Ablation) |
| Procedure Type | Minimally invasive, catheter-based | Laparoscopic, heat-based ablation | Transcervical, ultrasound-guided ablation |
| Fibroid Coverage | All fibroids, regardless of size or location | Targets individual fibroids; best for few or easily accessible | Targets individual fibroids; best for few or easily accessible |
| Invasiveness | No abdominal incisions | Small abdominal incisions | No incisions (through cervix) |
| Anaesthesia | Local with sedation | General anaesthesia | Local with sedation or light anaesthesia |
| Recovery Time | 7–10 days | ~1 week (may vary due to incisions) | ~1 week |
| Symptom Relief | 85–95% effective for multiple fibroids | Effective for treated fibroids; may miss others | Effective for treated fibroids; may miss others |
| Fertility Considerations | Preserves uterus; suitable for some fertility plans | Preserves uterus; limited evidence for fertility outcomes | Preserves uterus; limited evidence for fertility outcomes |
| Repeat Procedures | Rarely needed | May be needed if fibroids are missed | May be needed if fibroids are missed |
| Cost in South Africa | Varies; may be more cost-effective long-term if repeat procedures avoided | Varies; initial cost lower, potential for repeat treatment | Varies; initial cost lower, potential for repeat treatment |
| Best For | Women with multiple, large, or deep fibroids; long-term relief | Women with few, small, or easily reachable fibroids | Women with few, small, or easily reachable fibroids; prefer no incisions |
This table provides a side-by-side view to help you evaluate your options quickly, especially if you are comparing UFE vs RF ablation, UFE vs Acessa, or Sonata vs UFE. For more fibroid treatment comparisons, visit: UFE vs. Hysterectomy: Safety and Effectiveness & Uterine Fibroid Embolisation vs. Myomectomy: Key Differences.
Personal Factors That Matter Most
Choosing between UFE vs radiofrequency ablation fibroids is not just about the procedure—it’s about your individual health goals.
Recovery Time
When comparing recovery time: Acessa vs UFE, Acessa patients may return to light activity within about a week, though recovery can be affected by surgical incisions and general anaesthesia. UFE patients are also typically back to normal activities within 7–10 days, with most discomfort limited to cramping in the first few days.
Fertility Considerations
Fertility is an important factor for many women. While both treatments preserve the uterus, UFE’s ability to treat all fibroids at once may be beneficial in certain fertility-related cases. A specialist consultation is essential when discussing **fertility after Acessa vs UFE**.
Cost Considerations
The cost of Acessa vs UFE in South Africa varies depending on provider, hospital fees, and follow-up care. While RFA procedures may appear less costly initially, UFE can be more cost-effective long term if it reduces the need for repeat interventions.
Effectiveness and Long-Term Relief
One of the biggest differences in the UFE vs radiofrequency ablation fibroids debate is scope. UFE is designed to treat all active fibroids in one procedure, even those in difficult-to-reach areas. This is why many women comparing UFE vs laparoscopic radiofrequency ablation choose UFE for its comprehensive coverage.
With RFA treatments such as Acessa or Sonata, each fibroid must be individually targeted. This can be effective but may leave untreated fibroids behind, an important point when weighing radiofrequency ablation for fibroids pros and cons.
Making the Right Choice for You
When it comes down to fibroid treatment: UFE or RF, the right option depends on:
- The number, size, and location of your fibroids
- Your symptoms and lifestyle
- Fertility and family-planning goals
- Recovery expectations and long-term outcomes
Women with multiple fibroids or those seeking a single, comprehensive treatment often find that UFE offers a clear advantage. Targeted RFA options like Acessa or Sonata may still be suitable for women with fewer, smaller fibroids.
Take the Next Step Toward Effective Fibroid Treatment
Deciding between UFE and RFA is an important step toward improving your quality of life. Both treatments are uterus-sparing and minimally invasive, but the best choice is the one tailored to your specific condition and goals.
At Minima Radiology, our specialists take the time to assess your fibroids thoroughly and guide you through your options with clarity and care. Don’t let fibroids continue to dictate your daily life. Contact Minima Radiology today to book a consultation and take the first step toward lasting relief and renewed wellbeing.





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