Our Summary

This study looked at how effective and safe a new procedure is for treating uterine fibroids, which are noncancerous growths in the uterus. The procedure, called laparoscopic ultrasound-guided radiofrequency ablation, was performed on 33 patients with these growths. After the procedure, the researchers observed a significant reduction in the size and volume of the fibroids, as well as a decrease in painful menstruation. There was also a trend of improvement in heavy menstrual bleeding. Additionally, patients reported an improvement in their symptoms and quality of life. No serious side effects were reported. This is the first study of its kind in France, and while the results are promising, more research is needed to ensure the procedure is safe, especially for women who wish to have children.

FAQs

  1. What is laparoscopic ultrasound-guided radiofrequency ablation?
  2. What were the observed benefits of the procedure on patients with uterine fibroids?
  3. Is the procedure safe for women who wish to have children in the future?

Doctor’s Tip

One helpful tip a doctor might give a patient about uterine ablation is to discuss any potential risks and benefits of the procedure before making a decision. It’s important to understand that while uterine ablation can be effective in reducing symptoms such as heavy menstrual bleeding, it may not be suitable for women who wish to become pregnant in the future. It’s also important to follow up with your doctor regularly after the procedure to monitor your symptoms and overall health.

Suitable For

Typically, patients who are recommended uterine ablation are those who suffer from heavy menstrual bleeding, painful menstruation, and other symptoms related to uterine fibroids or other benign conditions of the uterus. Uterine ablation is often considered for women who have completed their childbearing years and do not wish to have any more children, as it can affect fertility. It is important for patients to discuss their individual medical history and treatment options with their healthcare provider to determine if uterine ablation is the right choice for them.

Timeline

  • Patient consults with doctor about symptoms (excessive menstrual bleeding, pelvic pain, etc.)
  • Patient undergoes diagnostic tests (ultrasound, MRI, etc.) to confirm presence of fibroids
  • Doctor recommends uterine ablation as a treatment option
  • Patient undergoes pre-operative preparations (blood tests, physical exam, etc.)
  • Patient undergoes uterine ablation procedure
  • After the procedure, patient may experience cramping, spotting, and discharge
  • Over the next few days to weeks, patient may experience a decrease in menstrual bleeding and improvement in symptoms
  • Follow-up appointments with doctor to monitor progress and address any concerns
  • Patient resumes normal activities and enjoys improved quality of life.

What to Ask Your Doctor

  1. What is uterine ablation and how does it work?
  2. Am I a good candidate for uterine ablation?
  3. What are the potential risks and side effects of uterine ablation?
  4. How effective is uterine ablation in treating my specific condition?
  5. Are there any alternative treatments or procedures I should consider?
  6. Will uterine ablation affect my fertility or ability to have children in the future?
  7. What is the recovery process like after uterine ablation?
  8. How long will the benefits of uterine ablation last?
  9. Are there any lifestyle changes or precautions I should take after undergoing uterine ablation?
  10. How often will I need to follow up with you after the procedure?

Reference

Authors: Bertogli H, Lucot JP, Lafourcade J, Warembourg S, Detchev R, Nguyen Ba E, Dubernard G, Philip CA. Journal: Gynecol Obstet Fertil Senol. 2024 Sep;52(9):495-504. doi: 10.1016/j.gofs.2024.04.001. Epub 2024 Apr 9. PMID: 38604536