Minimal fuss

New technique could help millions suffering from fibroids

UP to 80% of women in the US — more than two million per year — develop benign uterine fibroids (noncancerous tumors in the uterus) by the age of 50, according to the Department of Health and Human Services.

Symptoms can present as debilitating menstrual cycles, uterine bleeding, discomfort, frequent urination, painful intercourse and even infertility, and are typically diagnosed via ultrasound, said Dr. Arnold P. Advincula, New York-Presbyterian/Columbia University Irving Medical Center.

“Fibroids can create a significant mass effect,” he said. Treatments vary from birthcontrol pills to anti-inflammatory drugs, and if these don’t work, “Surgery comes in to play,” he said.

However, an innovative, incision-free procedure is now an option.

At his team’s Lawrence Hospital location in Bronxville, NY, the doctor oversees the Sonata System, a breakthrough alternative to hysterectomy and myomectomy using radio frequency energy to ablate fibroids, requiring no incisions to the abdomen or surgical removal of tissue. This preserves the uterus and avoids the peritoneal cavity. “It’s a minimal access type of operation,” said Advincula.

Another plus: It’s an outpatient procedure which results in an easier recovery, usually one to two days with minimal to no pain.

“We’re seeing good preliminary results,” said Advincula. “Although data is still being collected to assess the full impact on fertility, it’s a promising treatment option to reduce pain, preserve the uterus and give women the chance to become pregnant.”