Laparoscopic Ultrasound-Guided Radiofrequency Ablation of Uterine Fibroids

  • Andrea Milic
  • Murray R. Asch
  • Peter A. Hawrylyshyn
  • Lisa M. Allen
  • Terence J. Colgan
  • John R. Kachura
  • Eran B. Hayeems
Article

Abstract

Four patients with symptomatic uterine fibroids measuring less than 6 cm underwent laparoscopic ultrasound-guided radiofrequency ablation (RFA) using multiprobe-array electrodes. Follow-up of the treated fibroids was performed with gadolinium-enhanced magnetic resonance imaging (MRI) and patients’ symptoms were assessed by telephone interviews. The procedure was initially technically successful in 3 of the 4 patients and MRI studies at 1 month demonstrated complete fibroid ablation. Symptom improvement, including a decrease in menstrual bleeding and pain, was achieved in 2 patients at 3 months. At 7 months, 1 of these 2 patients experienced symptom worsening which correlated with recurrent fibroid on MRI. The third, initially technically successfully treated patient did not experience any symptom relief after the procedure and was ultimately diagnosed with adenomyosis. Our preliminary results suggest that RFA is a technically feasible treatment for symptomatic uterine fibroids in appropriately selected patients.

Keywords

Fibroid Radiofrequency ablation (RFA) Uterus 

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Andrea Milic
    • 1
  • Murray R. Asch
    • 2
  • Peter A. Hawrylyshyn
    • 3
  • Lisa M. Allen
    • 3
  • Terence J. Colgan
    • 4
  • John R. Kachura
    • 5
  • Eran B. Hayeems
    • 6
  1. 1.Department of Medical ImagingUniversity of TorontoTorontoCanada
  2. 2.Department of Diagnostic RadiologyLakeridge Health CorporationOshawaCanada
  3. 3.Department of Obstetrics and GynecologyMount Sinai HospitalTorontoCanada
  4. 4.Department of PathologyMount Sinai HospitalTorontoCanada
  5. 5.Department of Diagnostic ImagingToronto General HospitalTorontoCanada
  6. 6.Department of Diagnostic ImagingMount Sinai HospitalTorontoCanada

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