Fibroids are benign growths that commonly appear inside or around the uterus. These lumps are formed from muscle and fibrous tissue, ranging in size from very small to as large as a grapefruit. Many women experience no symptoms at all, while others may develop complaints such as heavy menstrual bleeding, severe menstrual pain, pelvic pressure, or frequent urination. These symptoms can interfere with daily activities and affect overall comfort.
At Mandaya Royal Hospital Puri, women can choose a non-surgical fibroid treatment option using HIFU technology. This method offers greater comfort and lower risks, making it an ideal alternative for those who wish to treat fibroids without undergoing invasive procedures.
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What is HIFU?
HIFU, or High-Intensity Focused Ultrasound, is a non-invasive treatment technique for fibroids. This technology directs high-intensity ultrasound waves from outside the body directly to the fibroid tissue inside the uterus. At the focal point, high temperatures are generated to destroy fibroid cells without damaging the surrounding healthy tissue. This allows HIFU to perform fibroid ablation in a completely non-invasive way.
The principle of High-Intensity Focused Ultrasound (HIFU) is to generate high temperatures at a specific focal point within the target tissue using precisely directed ultrasound waves. This heat leads to coagulative necrosis, destroying tumor tissue without harming nearby normal tissue. The process involves detailed mapping and highly focused ultrasound energy, making HIFU an excellent non-invasive treatment option for non-cancerous conditions such as fibroids.
How HIFU Works in Treating Fibroids
Here is how HIFU works:
1. Ultrasound focusing
HIFU uses high-intensity ultrasound waves focused on a target area, such as a fibroid, generating concentrated energy within a small region.
2. Heat generation
When the ultrasound waves reach the target tissue, the energy converts into heat, raising the temperature in that area and forming a high-temperature focal point inside the fibroid.
3. Cell destruction
The high temperature damages fibroid cells, triggering coagulative necrosis. This thermal coagulation process effectively destroys fibroid tissue.
4. Protection of surrounding tissue
HIFU technology allows precise control of the targeted area, ensuring that only the intended tissue is affected while surrounding healthy tissue remains unharmed.
5. Natural absorption
The destroyed fibroid cells are gradually absorbed and eliminated naturally by the body, leading to a gradual reduction in fibroid size.
Advantages of HIFU for Fibroid Treatment
Here are the key benefits of HIFU for fibroid treatment:
- Non-invasive: HIFU is a non-invasive procedure that does not require surgical incisions. With no cuts or stitches, the risk of infection is significantly reduced.
- Radiation-free: HIFU does not use electromagnetic radiation. Instead, it uses high-intensity focused ultrasound waves to generate heat in the targeted tissue. Unlike conventional radiation therapy, HIFU does not involve radioactive substances or ionizing radiation.
- No general anesthesia: HIFU is performed using sedation or analgesia without the need for general or local anesthesia, reducing the typical risks associated with traditional surgery.
- Preserves fertility: In fibroid treatment, HIFU can map and target abnormal tissue with high precision, leaving the surrounding healthy tissue untouched. This accuracy helps preserve the uterus’s structure and function, allowing women to maintain their fertility—an essential benefit for those planning future pregnancies.
- Faster recovery: Since the procedure does not involve surgical incisions, patients generally recover faster compared to other treatment methods, allowing them to return to their usual activities more comfortably.
Fibroid Specialists at Mandaya Royal Hospital Puri
Along with advanced fibroid treatment technology like HIFU, Mandaya Royal Hospital Puri is supported by a team of experienced specialists, including:
1. dr. Gracia Merryane R.G Rauw, Sp.OG
dr. Gracia Merryane R.G Rauw, Sp.OG is an Obstetrics & Gynecology specialist focusing on women’s reproductive health, pregnancy care, and the management of various gynecological conditions. She completed her medical and specialist training at the Faculty of Medicine, Sam Ratulangi University, building a strong academic foundation and deep expertise in her field.
In her practice, she provides a wide range of women’s health services, including routine check-ups, family planning, ovulation induction, labor induction, and cesarean sections. She is also experienced in gynecological procedures such as hysterectomy, sterilization, laparoscopy, Pap smear, Saline Infusion Sonohysterography (SIS), and LEEP procedures for cervical abnormalities.
Schedule at Mandaya Royal Hospital Puri:
- Monday–Saturday: 08.00–11.00 WIB & 13.00–18.00 WIB
2. dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes is an Obstetrics & Gynecology specialist with consultant-level expertise and extensive experience in women’s reproductive health, pregnancy management, and gynecological disorders. He completed his medical degree at Universitas Trisakti, specialist training at Universitas Hasanuddin, and earned his Consultant qualification from Universitas Indonesia.
He provides comprehensive care, including preconceptional care, prenatal diagnosis, fetal imaging, contraceptive counseling, management of medical complications in pregnancy, benign gynecological disorders, and minimally invasive procedures.
Schedule at Mandaya Royal Hospital Puri:
- Tuesday: 17.00–20.00 WIB
- Thursday: 13.00–16.00 WIB
- Saturday: 08.00–12.00 WIB
3. dr. Ong Tjandra, M.Kes, Sp.OG (K), Subsp. Onk
dr. Ong Tjandra is a leading gynecologic oncology specialist in Jakarta and Tangerang, practicing at Mandaya Royal Hospital Puri. He is highly skilled in managing cancers of the female reproductive system, including cervical, ovarian, and vaginal cancers.
He also performs modern surgical procedures such as cyst and fibroid removal using minimally invasive laparoscopy, which offers faster recovery and minimal pain. He is experienced in performing hysterectomies for both cancerous and non-cancerous conditions.
Schedule at Mandaya Royal Hospital Puri:
- Monday: 10.00–17.00 WIB
- Thursday: 16.00–20.00 WIB
4. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk
Dr. Unedo is an Obstetrics & Gynecology specialist with subspecialization in gynecologic oncology. He completed medical school at Universitas Sriwijaya, specialist training at Universitas Sebelas Maret, and his Consultant and Doctoral programs at Universitas Indonesia.
He treats a wide range of gynecological diseases, including cervical, uterine, ovarian, vulvar, and vaginal cancers, as well as benign conditions such as uterine tumors and polyps. His careful, empathetic approach makes patients feel comfortable and confident in their care.
Schedule at Mandaya Royal Hospital Puri:
- Tuesday: 16.00–20.00 WIB
- Thursday: 16.00–20.00 WIB
- Saturday: 13.00–16.00 WIB
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 check queue numbers, schedule visits, and access complete information.
