High-Intensity Focused Ultrasound (HIFU) technology is now becoming a new hope for women who want to treat fibroids without undergoing surgery. At Mandaya Royal Hospital Puri, a HIFU procedure was successfully performed on a patient with a fibroid measuring approximately 7×6 cm by dr. Edward Tony Ngantung, Sp.OG.
This procedure has become a modern solution for patients who want to avoid major surgery, incisions, hysterectomy, and long recovery periods associated with conventional surgery.
“I decided to choose HIFU because I wanted to avoid undergoing a hysterectomy, as I plan to try for another pregnancy in the future. That’s why I believed choosing HIFU was the best decision for me,” said the patient.
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Menstrual Bleeding for More Than 20 Days Turned Out to Be a 7 cm Fibroid
A 40-year-old patient named Angela from Jakarta came to Mandaya Royal Hospital Puri complaining of prolonged menstrual bleeding that lasted for more than 20 days. The condition disrupted her daily activities and caused significant concern.
After undergoing an ultrasound examination with dr. Edward, Angela was diagnosed with fibroids and adenomyosis, with the fibroid measuring approximately 7×6 cm.
In many cases, fibroids of this size are often treated through surgery, and in some situations may even require hysterectomy. However, for Angela, who still planned to become pregnant again, that option became a major consideration.
Considering the patient’s condition and her desire to preserve fertility, dr. Edward recommended HIFU as a non-surgical treatment alternative.
Understanding HIFU, Incision-Free Technology for Fibroid Treatment
HIFU works by using high-intensity ultrasound waves to gradually destroy fibroid tissue without surgery. Since no incisions are required, the uterus can be preserved.
In general, here is how HIFU technology works in treating fibroids without surgery:
- High-intensity ultrasound waves are precisely directed toward the targeted fibroid tissue.
- When the waves converge at a specific point, they generate high heat at temperatures of around 60–90°C.
- The heat damages the fibroid tissue through protein coagulation and tissue necrosis, causing the fibroid cells to gradually die.
- After the fibroid tissue is destroyed, the body naturally absorbs the remaining tissue over several weeks to approximately 90 days after the procedure.
“HIFU was incredibly helpful for me. The procedure went well, and the medical team at Mandaya Hospital provided amazing support throughout the process. During the HIFU procedure, we simply lie down similar to an MRI scan, but while MRI is done lying on your back, for HIFU we lie face down,” said the patient.
“There was a warm sensation, but it wasn’t excessive at all. HIFU also wasn’t painful, so for women who may be afraid of intense pain, I think this is the best solution,” the patient added.
Unlike conventional surgery, HIFU does not leave incision scars on the body. The most common sensation experienced by patients is usually only warmth around the treated area, without severe pain.
This makes HIFU a more comfortable solution for patients who are afraid of surgery or concerned about long recovery times.
dr. Edward’s Explanation About the Patient’s Condition and HIFU Results
“Over the past few months, the patient came to me complaining of bleeding and menstrual pain. After performing an ultrasound examination, we discovered a mass or lump in the uterus measuring approximately 6×7 cm,” said dr. Edward Tony Ngantung, Sp.OG.
“We recommended HIFU because this technology does not require incisions or surgery, and the recovery time is much faster. Considering the patient’s age and her desire to have children again, HIFU is beneficial because it leaves no scar on the uterus, making the risk of uterine rupture lower compared to myomectomy,” he explained.
After the procedure, evaluation results showed that most of the fibroid tissue had been successfully destroyed, with an ablation rate reaching approximately 80–90%. This demonstrates that HIFU is effective in significantly shrinking fibroids without open surgery.
Advantages of HIFU for Fibroid Treatment
Here are some advantages of HIFU that patients may consider:
- The procedure does not require incisions or stitches because it is performed without open surgery.
- Pain levels during and after the procedure are generally milder compared to conventional surgery.
- HIFU does not use radiation, but instead utilizes high-intensity ultrasound waves directed precisely at fibroid tissue.
- The uterus can be preserved, helping maintain fertility and reproductive function.
- The risk of bleeding is relatively lower because no surgical procedure is performed.
- Recovery time is generally shorter, and patients usually do not require prolonged hospitalization.
- Patients are typically able to return to daily activities more quickly after undergoing HIFU treatment.
HIFU Has Become a Globally Used Modern Medical Technology
HIFU technology has now been widely used in many countries as a non-surgical treatment method for various medical conditions, including fibroids.
Here are several facts about HIFU technology worldwide:
- HIFU technology has been used in more than 37 countries.
- To date, HIFU has helped treat more than 500,000 patients globally.
- This technology has received recognition from the Food and Drug Administration (FDA) in the United States.
- HIFU has also obtained European CE certification as an international medical safety and quality standard.
Profile, Expertise, and Practice Schedule of dr. Edward at Mandaya Royal Hospital Puri
Fibroid treatment using HIFU technology at Mandaya Royal Hospital Puri is performed by obstetrics and gynecology specialists, including dr. Edward Tony Ngantung, Sp.OG.
dr. Edward completed his general medical education at Sam Ratulangi University, then continued his obstetrics and gynecology specialist training at San Juan de Dios Educational Foundation. He also completed an obstetrics and gynecology adaptation program at Udayana University.
In his clinical practice, dr. Edward has expertise in preconception care, prenatal diagnosis, fetal imaging, contraceptive counseling, management of benign gynecological disorders, and minimally invasive procedures tailored to patient conditions.
dr. Edward Tony Ngantung, Sp.OG is available at Mandaya Royal Hospital Puri on:
- Monday: 2:00 PM – 4:30 PM WIB
- Tuesday: 11:00 AM – 2:00 PM WIB
- Wednesday: 5:00 PM – 8:00 PM WIB
- Thursday: 5:00 PM – 8:00 PM WIB
- Friday: 10:00 AM – 2:00 PM WIB
- Saturday: 9:00 AM – 1:00 PM WIB
When Should You Consult a Doctor?
Small fibroids often do not cause symptoms, so many women only discover their condition during medical examinations. However, as fibroids grow larger, symptoms may begin to interfere with daily activities and quality of life.
Here are some fibroid symptoms that should not be ignored:
- Heavier menstrual bleeding or more severe menstrual pain than usual
- Bleeding outside the normal menstrual cycle
- A feeling of fullness, bloating, or enlargement in the lower abdomen
- Frequent urination due to pressure on the bladder
- Pain during sexual intercourse
- Lower back pain
- Constipation or pressure around the pelvic and anal area
- Persistent vaginal discharge
- Difficulty urinating or feeling that the bladder is not completely empty
- An enlarged abdomen that resembles pregnancy
If you experience one or more of these symptoms, it is recommended to consult an obstetrics and gynecology (obgyn) specialist immediately. Early examination is important to determine the exact cause of the symptoms and identify the most appropriate treatment option based on the patient’s condition.
To make your visit to Mandaya Royal Hospital Puri easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to simplify visits, check queue numbers, and access other complete information.
The information available on this page is intended for educational and general informational purposes only and does not reflect the full range of medical services that may be provided by each doctor. To ensure treatment appropriate to your health condition, direct consultation with the relevant doctor is recommended.
If you have questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
