Uterine Myoma (Fibroids) - Frequently Asked Questions

What should I know before the MR guided Focused Ultrasound (MRgFUS) procedure?

You should let your doctor know if you are allergic to certain medications or contrast agents to avoid any type of reaction to the procedure. You and your doctor will also decide what type of sedation works best for you. Most doctors use conscious sedation, which means you are awake during the procedure but you may feel groggy.

What are the benefits of MRgFUS?

  • Completely non-invasive - no surgery and no blood loss
  • No hospital stay
  • Effective alternative to surgery and hormonal treatment
  • Significant improvement in your quality of life
    • decrease in menstrual bleeding from symptomatic fibroids
    • decrease in urinary dysfunction, pelvic pain and/or pressure
  • Preserves the uterus and cervix
  • Quick return to normal activities

What risks and complications are associated with MRgFUS?

Overall, MRgFUS is a safe procedure for treating symptomatic myoma (fibroids) with minimal risk. Infrequent complications that have been reported following MRgFUS are listed below. You should talk to your doctor about the likelihood that you may experience any of these risks.

  • Back or leg pain that persists for a few days
  • Mild skin burns (rarely)
  • Abdominal pain/cramping, nausea and/or fever
  • The treatment may be successful in reducing the symptoms from the fibroids that are treated, but at a later time, more fibroids may become symptomatic, requiring additional treatments. This is true for all fibroid treatments, except hysterectomy
  • There is a risk that the treatment may not be successful and you may require an alternative treatment therapy to improve your symptoms

If you have any questions concerning risks and complications of the procedure, you should discuss them with your doctor.

After the MRgFUS procedure, what will happen to me?

MRgFUS is performed as an outpatient procedure that takes between 3-4 hours. Following the treatment you will rest for an additional 1-2 hours until the sedation wears off.  After that you will be released and can go home.

What happens when I go home?

You will receive individualized discharge instructions from your doctor. Usually nothing is required, although the doctor may recommend over-the-counter pain relief medication. Occasionally women may experience some cramping, similar to menstrual period cramping or shoulder/back pain from lying in the treatment position.

Most women are able to return to work and normal activity the day after the procedure.

After the MRgFUS treatment, who will provide my post procedure care?

It is important that you discuss with your doctor who will handle your follow-up care. Arrange follow-up phone calls and/or office visits for after the procedure. You should also know whom to contact in case of an emergency after your procedure. This is especially important if you experience foul-smelling vaginal discharge that increases over time and lasts more than 24 hours, fever, or pelvic pain.

What is focused ultrasound?

UK Study examins the cost-effective MRgFUS myoma (fibroid) treatment

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