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Laparoscopic Ultrasound-Guided Radiofrequency Ablation of Uterine Fibroids

Journal Article · · Cardiovascular and Interventional Radiology
 [1]; ;  [2];  [3];  [4];  [5]
  1. University of Toronto, Department of Medical Imaging (Canada)
  2. Mount Sinai Hospital, Department of Obstetrics and Gynecology (Canada)
  3. Mount Sinai Hospital, Department of Pathology (Canada)
  4. Toronto General Hospital, Department of Diagnostic Imaging (Canada)
  5. Mount Sinai Hospital, Department of Diagnostic Imaging (Canada)
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.
OSTI ID:
21091172
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 29; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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