Medical innovation continues to transform the way cancer and uterine fibroids are treated. One of the most advanced technologies available today is High-Intensity Focused Ultrasound (HIFU), a non-invasive procedure designed to destroy tumors and fibroid tissue without the need for major surgery.
At Mandaya Royal Hospital Puri, HIFU is offered as part of a comprehensive treatment program for selected cancer cases and uterine fibroids. This modern approach allows patients to receive precise treatment while minimizing physical trauma and recovery time.
Contents
What Is HIFU and How Does It Work?
HIFU uses concentrated ultrasound waves to generate heat at a specific target point inside the body. This heat destroys abnormal tissue such as fibroids or tumors without damaging surrounding healthy structures.
The procedure is guided by real-time imaging, allowing doctors to monitor treatment accuracy throughout the session. Because there are no surgical incisions, patients can avoid many of the risks associated with traditional surgery.
Benefits of HIFU Treatment
1. Completely Non-Invasive Procedure
One of the most significant advantages of HIFU is that it does not require surgical incisions. There are:
- No cuts
- No stitches
- No surgical scars.
This reduces the risk of wound infection and eliminates visible scarring. For many patients, this is a major consideration when choosing between surgery and non-invasive treatment.
2. Minimal Blood Loss and Lower Risk of Complications
Traditional surgery for fibroids or tumors often involves blood loss and potential surgical complications. Because HIFU does not involve cutting tissue, blood loss is minimal to none.
Additionally, the risks of complications such as postoperative infection, excessive bleeding, or delayed wound healing are significantly reduced compared to open or laparoscopic surgery.
3. Faster Recovery Time
Recovery after conventional surgery can take weeks. Patients may need extended rest, hospital stays, and time away from work.
With HIFU, recovery is generally much faster. Many patients:
- Resume light activities within a short period
- Experience shorter hospital stays
- Return to daily routines sooner.
This makes HIFU an attractive option for patients who want effective treatment without prolonged downtime.
4. Precision Targeting of Tumors and Fibroids
HIFU technology focuses ultrasound energy directly on the targeted tissue. The heat is concentrated at a specific point, allowing abnormal cells to be destroyed while surrounding healthy tissue is preserved.
This level of precision is particularly important for:
- Uterine fibroids, where preserving the uterus is a priority
- Liver or pancreatic tumors located near critical organs
- Patients who require localized tumor control.
Real-time imaging guidance enhances treatment accuracy and safety.
5. Uterus-Preserving Option for Fibroid Patients
For women diagnosed with uterine fibroids, maintaining fertility or preserving the uterus can be a major concern.
HIFU treats fibroids without removing the uterus, making it a suitable option for selected patients who wish to avoid hysterectomy. By shrinking and destroying fibroid tissue, symptoms such as heavy menstrual bleeding and pelvic pain may improve while reproductive organs remain intact.
6. Suitable for Selected Cancer Patients Who Are Not Surgical Candidates
Some cancer patients may not be ideal candidates for major surgery due to tumor location, overall health condition, or advanced disease stage.
HIFU can be considered in selected cases to:
- Provide local tumor control
- Reduce tumor size
- Help relieve symptoms.
It may also be integrated into a broader cancer treatment plan, depending on the patient’s individual medical evaluation.
7. Improved Patient Comfort and Quality of Life
Because HIFU is non-invasive and associated with faster recovery, patients often experience:
- Less postoperative pain
- Reduced hospital anxiety
- Quicker return to normal life.
For many individuals, this translates into improved overall quality of life during and after treatment.
How Does HIFU Work?
High-Intensity Focused Ultrasound (HIFU) is an advanced medical technology that destroys abnormal tissue without requiring surgical incisions. The procedure works by delivering highly concentrated ultrasound energy directly to the targeted area inside the body. This focused energy produces controlled heat that eliminates abnormal cells while preserving as much surrounding healthy tissue as possible.
Using real-time imaging guidance, doctors can accurately monitor and direct the ultrasound waves to the exact treatment point. Below is a simplified overview of how HIFU is applied in uterine fibroids, pancreatic cancer, and liver cancer cases.
1. HIFU for Uterine Fibroids
In uterine fibroid treatment, high-intensity ultrasound waves are carefully focused on the fibroid under imaging guidance to ensure precision and protect nearby healthy uterine tissue.
The concentrated energy increases the temperature at the target point to approximately 60–90°C. This heat destroys fibroid cells through a process known as thermal ablation—without any surgical cuts or open procedures.
After treatment, the body gradually reabsorbs the destroyed fibroid tissue. Over the course of several weeks to around three months (approximately 90 days), the fibroid progressively shrinks, often leading to improvement in symptoms such as heavy menstrual bleeding and pelvic discomfort.
2. HIFU for Pancreatic Cancer
For pancreatic cancer, ultrasound waves are accurately directed toward the tumour using advanced imaging technology to ensure precise targeting.
The focused energy elevates the temperature at the tumour site to above 80°C. This intense heat destroys cancer cells via thermal ablation, without the need for surgical removal.
In the weeks and months following treatment, the ablated tumour tissue gradually decreases in size. In selected cases, HIFU may also help relieve symptoms associated with tumour growth.
3. HIFU for Liver Cancer with Cirrhosis
In liver cancer patients—particularly those with cirrhosis—the HIFU device is positioned on the skin surface. Ultrasound energy is delivered from outside the body directly to the tumour, eliminating the need for incisions.
The ultrasound waves are precisely focused on the cancerous tissue, raising the temperature in the targeted area to above 60°C. This heat destroys cancer cells through thermal ablation.
Because the energy is concentrated specifically on the tumour, the surrounding healthy liver tissue remains relatively protected. This precision is especially important for patients with cirrhosis, where preserving remaining liver function is critical.
HIFU Price – Exclusive Promotion for Singapore Residents
For patients travelling from Singapore, Mandaya Royal Hospital Puri offers a special HIFU promotion designed to provide access to advanced, non-surgical treatment at a transparent and competitive cost.
Under this exclusive programme, eligible Singapore residents can undergo HIFU treatment for uterine fibroids, liver cancer, or pancreatic cancer at a package price of SGD 7,500. This all-inclusive offer is structured to ensure patients receive high-quality medical technology, experienced specialist care, and comprehensive hospital support—without unexpected costs.
The goal of this package is to make innovative, incision-free cancer and fibroid treatment more accessible to international patients seeking effective alternatives to conventional surgery.
HIFU Specialists at Mandaya Royal Hospital Puri
HIFU procedures at Mandaya Royal Hospital Puri are carried out by a multidisciplinary team, involving experienced specialists from Obstetrics & Gynaecology and Interventional Radiology, depending on each patient’s diagnosis and treatment needs.
This collaborative approach ensures personalised treatment planning, accurate evaluation, and safe execution of every HIFU procedure.
HIFU for Uterine Fibroids
Women considering HIFU for uterine fibroids are treated in collaboration with highly experienced OBGYN specialists:
1. dr. Doddy F.P. Gultom
Dr. Doddy is a Consultant Obstetrician & Gynaecologist with extensive expertise in reproductive health and benign gynaecological conditions. He completed his medical degree at Universitas Trisakti, specialist training at Universitas Hasanuddin, and consultant training at Universitas Indonesia.
His clinical focus includes managing various benign gynaecological cases and performing minimally invasive procedures based on clear medical indications.
Practice Schedule:
- Tuesday: 17.00 – 20.00 WIB
- Thursday: 13.00 – 16.00 WIB
- Saturday: 08.00 – 12.00 WIB
2. dr. Erik Sutandi
Dr. Erik is an Obstetrician & Gynaecologist with strong experience in reproductive medicine, fertility, and hormonal disorders. He obtained his medical degree from Universitas Kristen Maranatha and completed specialist training at San Juan De Dios Hospital. He further enhanced his expertise through residency adaptation at RSUP Sanglah and fellowship training in gynaecologic endoscopy and fertility.
His services include fertility evaluation, hormonal assessments, ultrasound diagnostics, and a range of gynaecological procedures tailored to patient needs.
Practice Schedule:
- Monday: 17.00 – 20.00 WIB
- Wednesday: 14.00 – 16.00 WIB
- Friday: 17.00 – 20.00 WIB
- Saturday: 14.00 – 16.00 WIB
HIFU for Liver Cancer and Pancreatic Cancer
For patients diagnosed with liver cancer or pancreatic cancer, HIFU is performed by a senior interventional radiology consultant:
1. dr. Sugianto Santoso
Dr. Sugianto is an Interventional Radiology Consultant specialising in minimally invasive cancer diagnosis and treatment. He completed his medical degree at Universitas Kristen Maranatha and Radiology Specialist training at Universitas Indonesia.
In his clinical practice, he utilises advanced imaging technologies such as ultrasound (USG), CT scan, MRI, and fluoroscopy to maximise precision and safety during procedures. Beyond HIFU, he is experienced in tumour ablation techniques including TACE, Radiofrequency Ablation (RFA), and Microwave Ablation—providing comprehensive non-surgical cancer treatment options.
Practice Schedule:
- Tuesday: 16.00 – 20.00 WIB
- Thursday: 16.00 – 20.00 WIB
Through a multidisciplinary strategy, Mandaya Royal Hospital Puri ensures that every HIFU treatment plan is customised according to the patient’s specific medical condition and clinical evaluation.
Facilities for International Patients at Mandaya Royal Hospital Puri
Mandaya Royal Hospital Puri provides dedicated services to ensure a smooth and comfortable medical journey for international patients.
1. VIP Airport Transfer Service
To enhance patient convenience, the hospital offers a VIP Transport Service for arrivals via Soekarno-Hatta International Airport, train stations, or seaports.
Patients are transported in a private vehicle and assisted by Mandaya’s Patient Experience Officer (PEO) team. Every transfer is carefully arranged to prioritise comfort, safety, and efficiency—particularly for those requiring additional assistance.
2. Ambulance Transfer with Medical Supervision
For patients needing clinical monitoring during travel, ambulance pick-up services are available from airports, train stations, or seaports.
Each ambulance is equipped with essential medical equipment and staffed by trained healthcare professionals. This ensures continuous monitoring from arrival in Jakarta until reaching the hospital, allowing treatment to commence safely and without delay.
3. Accommodation Options: Sleep Hub & Family Apartments
To support families accompanying patients, Mandaya offers convenient accommodation solutions.
Sleep Hub (Level 8 – Inside the Hospital)
Family members may stay within the hospital building for easier access to patients.
- POD Room – SGD 22 per night: Suitable for 1 person, shared bathroom
- Ensuite Room – SGD 35 per night: Suitable for 2 persons, private bathroom
Family Apartment – SGD 80 per night
For those seeking greater privacy and space, a fully furnished apartment is available, featuring:
- 2 bedrooms
- Smart TV
- Sofa bed
- Microwave and gas stove
- Private bathroom with hot water
- Towels and toiletries
- Air conditioning
- Complimentary WiFi.
These accommodation facilities are thoughtfully designed to provide comfort and reassurance for patients and their families throughout their treatment journey in Indonesia.
Easy Appointment and Communication Access
To make your visit more convenient, you can use the Chat via WhatsApp feature, Book Appointment service, or the Care Dokter application, which is available for download on Google Play and the App Store. These options help simplify your visit, allow you to check your queue number, and provide access to complete information about your appointment and hospital services.
