Fibroid Treatments

Uterine fibroid radiofrequency ablation. The alternative to surgery!

Leaders in Non-Surgical Treatments for Uterine Fibroids

Specialists in radiofrequency ablation of uterine fibroids. Minimally invasive uterine fibroid treatments, No need for surgery!


Fibroids and fertility

For a woman who wishes to become pregnant, a uterine fibroids can be a problem if:

They are located above the cervix, preventing sperm from crossing the uterus.

They obstructs the fallopian tubes, preventing the passage of sperm to the egg and the fertilized egg to the uterus.

They decreases blood flow to the uterus.

What are fibroids?

Uterine fibroids are benign (non-cancerous) tumors formed by fibers very similar to those of the uterus itself.

It is estimated that 70% of women develop fibroids during their lifetime, with a higher incidence after the age of 50. They are usually asymptomatic and do not require treatment.

A patient may have one or more fibroids of different sizes in the uterus, causing various symptoms, altering her quality of life and even affecting her fertility.

Many women have uterine fibroids at some point in their life. However, you may not know that you have a uterine fibroid because they often cause no symptoms.

The symptoms are...

Heavy Periods.

Frequent Urination.

Heavy menstrual bleeding.

Pelvic pain or pressure.

Low back pain.

Constipation.

Increase in the volume of the abdomen.

Infertility.

Painful Intercourse.

Miscarriages.

Options to remove uterine fibroids

Conventional treatments

Standard Fibroid Treatments

There are various treatments, depending on the size, location, symptomatology and vascularization of the fibroid. To apply one treatment or another, the woman's age and her fertility desires are always taken into account.

Hormonal treatments

In Spain, the drug Ryeqo is authorized, which is a GNRH antagonist that contains the active ingredients relugolix, estradiol, and norethisterone acetate. This medication is to be taken orally and is indicated to treat moderate to severe symptoms of uterine fibroids in adult women who have not reached menopause, for the purpose of stopping or reducing bleeding and relieving pain and discomfort associated with fibroids uterine.

Myomectomy

Myomectomy, today is the "gold standard" in the treatment of fibroids in patients who want pregnancy, since it is the procedure supported by studies, you have always had experience.

Laparoscopic Myomectomy

Surgery using a laparoscope or tube that is inserted through a small incision.

Laparotomy Myomectomy

Open or classical surgery through an opening of the abdominal cavity.

Hysteroscopy

Minimally invasive technique that allows us to visualize the inside of the uterus. See more information.

Hysterectomy

The complete removal of the uterus or womb of the patient.

Alternative to surgery

Radiofrequency Ablation of Fibroids

The excellent results of the treatment with the radiofrequency, RF system make it highly recommended over any other option.

Radiofrequency ablation is acts minimally invasive fibroid treatment, an alternative to fibroid surgery. It acts directly inside the fibroid by thermocoagulating the tissue through a very fine needle that emits radiofrequency at its tip, in a controlled manner over the entire surface of the fibroids and without damaging the uterine muscle.

Benefits of Radiofrequency Ablation

Alternative technique to fibroids surgery.

No hospital admission required.

Avoid surgical risks.

No aggression to the uterine walls.

Rapid recovery of the patient.

Preserves the patient's fertility.

Possibility of treating several fibroids in the same intervention.

Uterine Fibroids Protocol 2023

Author

Dr. María Luisa Cañete Palomo.

Download PDF


Specialists in Uterine fibroid treatments

When fibroids are multiple or large, a Laparoscopic, Laparotomy, or Hysteroscopic Myomectomy is performed, allow to preserve the uterus.


Uterine fibroid 14 cm in size

Uterine fibroid 14 cm in size, removed by laparoscopy.

Removal of 74 uterine fibroids without blood transfusion

Removal of 74 uterine fibroids without blood transfusion. The largest number of fibroids excised in a patient using a Phannestiel Incision.

Fibroid removed by laparotomy

Fibroid removed by laparotomy of 4.5 kg and 35 cm. The patient has achieved two pregnancies after the intervention.

Extraction of 61 uterine fibroids

Extraction of 61 uterine fibroids from a 36-year-old patient. The patient had a very fast recovery, after three days he was discharged and was in his city (Bilbao, Spain).


Minimally Invasive Fibroid Treatments

Uterine Fibroid Embolization (UFE)

Uterine Artery Embolization is a safe technique, introduced by Ravina in 1995, then endorsed by world agencies (NICE, FDA...). It is painful in the first week after the procedure and has a risk of permanent amenorrhea (loss of periods) of 3% in patients in those under 40 years of age and 15% in those over 40 years of age.

It is not considered the first choice in patients who wish to become pregnant at some point in their life.

Treatment of Uterine FibroidsRadiofrequency Vaginal Fibroids

Conservative Treatment of Uterine Fibroids

HIFU/MRgFUS

It is the destruction of fibroids by ultrasound from the outside. A thermal mapping system is used to treat the fibroid with the thermal effect, the procedure usually lasts 3 hours, 2-10 cm fibroids can be treated although the FDA has authorized 4-5 hours of treatment. It is an effective treatment in terms of controlling bleeding and reducing the size of the fibroid. The main disadvantages are the time the procedure…. the need to repeat the procedure and the price.


Vaginal Radiofrequency

Vaginal Radiofrequency It is performed under ultrasound control and the patient is sedated. First, a biopsy of the is taken and analyzed in pathological anatomy. The fibroid is punctured with a radiofrequency needle and the entire fibroid is treated. Subsequently, the vascularization of the fibroid can be verified in the same operating room. It is a safe procedure. The controls will be made at two and six months.

We have the latest technology. Gynecological 3D Doppler Ultrasound and Elastography for fibroids, two novelties in the treatment of uterine fibroids.

Radiofrequency Vaginal

Specialist in fibroid treatments without surgery

Recognition of the professional career, Women´s Health

Logo Spanish Society of Gynecology and Obstetrics
Logo UCM

Don't delay, we can help you!

Our team of medical specialists has been treating uterine fibroids for more than fifteen years with the most innovative techniques.


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