Revolutionising fibroid treatment

Fibroids, noncancerous growths in the uterus, affect a significant number of women, often causing symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on the bladder or rectum. While surgical interventions like laparoscopic or robotic surgeries have been traditionally used to remove large fibroids, a newer and less invasive approach called radiofrequency ablation (RFA) is gaining attention for its effectiveness in treating fibroids while preserving the uterus. In his latest online article, Mr Mahantesh Karoshi gives us his insights.

Unlike traditional surgeries that require incisions, RFA involves using radiofrequency energy to destroy fibroid tissue. This method offers several advantages, making it an attractive option for women seeking uterus-preserving treatments.

One of the notable benefits of RFA is its minimally invasive nature. Instead of large incisions, RFA requires only a small puncture in the skin, reducing the risk of complications and speeding up recovery time. Additionally, RFA can be performed under local anaesthesia, sedation, or general anaesthesia, providing flexibility in terms of patient comfort and preferences.

However, it's important to note that RFA may not be suitable for all women with fibroids. Strict guidelines are followed to determine eligibility for the procedure. Typically, fibroids larger than 8 cm may not be suitable candidates for RFA. In some cases, however, women with fibroids up to 10 cm may be considered if they undergo treatment to reduce fibroid size beforehand, such as GnRH analogue injections or the use of medications like Relugolix (Ryeqo) tablets.

Prior to undergoing RFA, thorough evaluation is essential. While expert ultrasound assessments are sufficient in many cases, some women may benefit from more detailed fibroid mapping using MRI. This provides precise information about the location of fibroids and their proximity to the uterine cavity, aiding in treatment planning and ensuring optimal outcomes.

During the RFA procedure, patients typically spend about 30 minutes in the operating theatre under anaesthesia. The actual ablation cycle lasts only around 7 minutes for one cycle, although some patients may require two or three cycles for complete treatment. Despite the short duration of the procedure, patients may experience mild symptoms afterward, such as abdominal pain and discharge. These are usually manageable with over-the-counter pain medication and resolve within a few days.

Mr Mahantesh Karoshi is an esteemed consultant gynaecologist. You can schedule an appointment with Mr Karoshi on his Top Doctors profile.