Radiofrequency Ablation (RF) for the treatment of Uterine Fibroids

How does it work?

Uterine fibroids are treated from inside the uterus, without the need for cutting or surgical removal of tissue. Therefore, no scars are formed after the procedure, and the uterus can be preserved.

Radiofrequency Ablation (RFA) specifically targets only the fibroid, providing local therapy that prevents the fibroid from growing to a problematic size, enables volumetric contraction of the fibroid, and leads to the immediate cessation of associated symptoms.

Radiofrequency Ablation of uterine fibroids is a simple procedure that uses the classic transvaginal US probe and an RF electrode. The physician can locate the fibroids and begin heating them with the RF electrode attached to the Ultrasound probe.

What results can you expect?

The main objective of treating uterine fibroids with radiofrequency is to stop the patient’s symptoms. However, in most cases, a reduction in the volume of the fibroid ablated with radiofrequency can also be expected. Generally, the expected behaviour of fibroids treated with radiofrequency is that of a volume reduction of about 60-90% within three months of treatment.

PATIENT FAQs

After Radiofrequency Ablation, the ablated fibroids are gradually reabsorbed by the body. The fibroids may shrink in size and become less dense over time, and the remaining tissue may turn into a small mass of fibrous tissue that no longer causes symptoms. In some cases, the treated fibroid may be completely reabsorbed by the body over time, leaving no residual tissue. However, the exact process and timeline of fibroid reabsorption can vary from person to person.

Yes, there is a high chance of shrinkage as a result of RFA. Uterine fibroids stop growing, and their cells are gradually absorbed by the body over time. The goal of MYOBLATE™ RFA is to relieve uncomfortable symptoms and improve the quality of life.

No, radiofrequency ablation is a focused method of treatment that targets only the diseased tissue (the uterine fibroid) and not the entire uterus. Therefore, we can anticipate that normal uterine function will be preserved.

No, RFA for uterine fibroids is not painful because it is done under sedation, local, or general anaesthesia to minimise discomfort during the treatment. Patients can usually resume normal activities within a couple of days. Following treatment, the patient may experience mild pain that can be managed with over-the-counter medications.

Individual post-procedure care is determined by the physician. However, getting plenty of rest and avoiding strenuous activity for a week is generally recommended.

RF ablation carries risks, like any other medical procedure. However, the US FDA has determined MYOBLATE™ to be safe and effective. In general, uterine fibroid Radiofrequency Ablation is regarded as a safe therapy when performed by qualified medical professionals. Since it is a minimally invasive treatment, it has a lower rate of complications compared to other treatments.

A good candidate for RFA of uterine fibroids is someone who has symptomatic fibroids and desires to preserve their uterus. However, not all fibroids are suitable for RFA treatment, and candidacy is evaluated on a case-by-case basis by a qualified physician.

Your doctor will provide you with specific instructions on how to prepare for the RFA procedure. In general, you may need to avoid eating or drinking anything for a few hours before the procedure and arrange for someone to drive you home afterward.
As with any medical procedure, there are risks associated with RFA of uterine fibroids, such as bleeding, infection, and damage to surrounding organs. However, serious complications are rare. Your doctor will discuss the potential risks and benefits of RFA with you before the procedure to help you make an informed decision.

Yes, RFA can be used to treat multiple fibroids at once, depending on their size and location. However, it is recommended to initially treat no more than 5 fibroids per session if they are relatively small.

There is currently no evidence of any long-term negative effects of RFA on the body. However, since it is a relatively new procedure, long-term data is limited. On the other hand, there is evidence that RFA can have positive long-term effects on the body, particularly in relieving symptoms associated with uterine fibroids such as heavy menstrual bleeding and pelvic pain.

Patients may experience immediate relief from symptoms such as heavy menstrual bleeding and pelvic pain after RFA, although it may take several weeks to see the full effect.

Your doctor will provide you with specific instructions on any dietary or lifestyle changes you should make before or after the procedure, but in general, a healthy diet and lifestyle can help promote healing.

Insurance coverage for RFA of uterine fibroids may vary depending on the insurance provider and the specific policy. You should check with your insurance provider to determine if the procedure is covered.

Yes, RFA can be a viable alternative to hysterectomy or other surgical procedures for treating symptomatic fibroids. However, the specific treatment plan will depend on your individual case and medical history.

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