Our Summary

This study looked at a new method of treating uterine fibroids, which are non-cancerous growths in the uterus that can cause discomfort and other symptoms. The method is called Uterine Myoma Position-based Radiofrequency Ablation (UMP-b RFA), and it involves using radiofrequency energy to destroy the fibroids.

The study followed 61 women who had this procedure done. It found that three years after the procedure, the fibroids had significantly reduced in size and the women’s symptoms had greatly improved. Their quality of life also improved, judged by a questionnaire and interviews. Nearly 90% of the women said they would have the procedure again if they could go back in time.

The study also found that the procedure was safe. Out of the 61 cases, there were no major complications and only two minor ones, which resolved on their own. However, about 16% of the women needed further intervention because the procedure didn’t completely treat their fibroids. These women tended to have larger fibroids to start with.

In conclusion, the study showed that this new method of treating uterine fibroids is safe and effective, especially for women with fibroids of less than 5 cm in size. It could be a good alternative to more invasive procedures like hysterectomy (removal of the uterus) or myomectomy (removal of the fibroids).

FAQs

  1. What is Uterine Myoma Position-based Radiofrequency Ablation (UMP-b RFA)?
  2. What were the findings of the study on Uterine Myoma Position-based Radiofrequency Ablation (UMP-b RFA)?
  3. Are there any risks or complications associated with the Uterine Myoma Position-based Radiofrequency Ablation (UMP-b RFA) procedure?

Doctor’s Tip

A helpful tip a doctor might tell a patient about uterine ablation is to make sure to follow all post-procedure instructions provided by your healthcare provider. This may include avoiding heavy lifting or strenuous exercise for a period of time, taking any prescribed medications as directed, and attending follow-up appointments to monitor your recovery progress. It’s also important to communicate any concerns or changes in symptoms to your doctor promptly.

Suitable For

Patients who are typically recommended uterine ablation are those who have symptomatic uterine fibroids that are causing discomfort, heavy menstrual bleeding, pelvic pain, or other symptoms that are impacting their quality of life. The procedure may be recommended for women who want to avoid more invasive surgical procedures like hysterectomy or myomectomy, or for those who are not candidates for surgery due to medical reasons. Patients with smaller fibroids (less than 5 cm in size) may be particularly good candidates for uterine ablation. It is important for patients to discuss their individual situation with their healthcare provider to determine if uterine ablation is a suitable treatment option for them.

Timeline

Before the uterine ablation procedure:

  1. Patient experiences symptoms such as heavy menstrual bleeding, pelvic pain, and pressure due to uterine fibroids.
  2. Patient consults with a healthcare provider who recommends uterine ablation as a treatment option.
  3. Patient undergoes pre-operative evaluations and tests to determine if they are a suitable candidate for the procedure.

After the uterine ablation procedure:

  1. Patient undergoes the UMP-b RFA procedure to destroy the uterine fibroids using radiofrequency energy.
  2. In the immediate post-operative period, the patient may experience mild discomfort or cramping.
  3. Over the following weeks and months, the patient experiences a reduction in symptoms such as heavy menstrual bleeding and pelvic pain.
  4. Three years after the procedure, the patient undergoes follow-up evaluations to assess the size of the fibroids and their symptoms.
  5. The study findings show that the fibroids have significantly reduced in size, and the patient’s symptoms have greatly improved.
  6. The patient reports an improved quality of life and a high satisfaction rate with the procedure.
  7. For some patients with larger fibroids, further intervention may be needed if the procedure did not completely treat the fibroids.

In conclusion, uterine ablation using UMP-b RFA is a safe and effective method for treating uterine fibroids, especially for women with smaller fibroids. It can provide symptom relief and improve quality of life for patients with uterine fibroids.

What to Ask Your Doctor

  1. What is uterine ablation and how does UMP-b RFA specifically work?
  2. Am I a suitable candidate for UMP-b RFA based on the size and location of my fibroids?
  3. What are the potential risks and complications associated with UMP-b RFA?
  4. What is the success rate of UMP-b RFA in reducing the size of fibroids and improving symptoms?
  5. How long is the recovery time after UMP-b RFA and what can I expect in terms of post-procedure discomfort?
  6. Are there any long-term effects or limitations to consider after undergoing UMP-b RFA?
  7. Will I still be able to conceive and carry a pregnancy after UMP-b RFA?
  8. How often will I need follow-up appointments to monitor the effectiveness of UMP-b RFA?
  9. Are there any alternative treatment options for my uterine fibroids that I should consider before deciding on UMP-b RFA?
  10. What is the cost of UMP-b RFA and will it be covered by my insurance?

Reference

Authors: Fasciani A, Turtulici G, Pedullà A, Sirito R. Journal: Eur J Obstet Gynecol Reprod Biol. 2023 Feb;281:23-28. doi: 10.1016/j.ejogrb.2022.12.006. Epub 2022 Dec 6. PMID: 36527825