Uterine fibroids are benign tumors that grow in or around the uterus. These lumps develop from muscle and fibrous tissue and can range in size—from very small to as large as a grapefruit. While many women with fibroids do not experience any symptoms, others may suffer from heavy menstrual bleeding, severe menstrual cramps, pelvic pressure, or increased urinary frequency. Without proper treatment, these symptoms may interfere with daily activities and impact a woman’s quality of life.
At Mandaya Royal Hospital Puri, patients have access to non-surgical fibroid treatment through HIFU technology. This approach offers a more comfortable treatment experience with minimal risks, making it an ideal option for women who wish to manage fibroids without undergoing surgery.
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Understanding HIFU Technology for Fibroids at Mandaya Royal Puri
HIFU, or High-Intensity Focused Ultrasound, is a non-invasive technology used to treat fibroids without any incisions. This method works by directing high-intensity ultrasound waves from outside the body to the fibroid tissue inside the uterus. At the focal point, the energy creates high temperatures that destroy fibroid cells without damaging the surrounding healthy tissue, allowing safe and effective ablation.
In principle, HIFU generates heat at precisely mapped target areas using focused ultrasound waves. The elevated temperature triggers coagulative necrosis in fibroid cells, selectively destroying tumor tissue while preserving nearby normal structures. With its high accuracy, HIFU is an ideal option for treating non-cancerous fibroids.
How HIFU Works in Treating Fibroids
Here is how HIFU works to treat fibroids:
- Ultrasound focusing: High-intensity ultrasound waves are directed at the fibroid tissue, concentrating energy on a specific target area.
- Heat generation: The ultrasound energy converts into heat upon reaching the fibroid, creating a high-temperature focal point inside the target tissue.
- Fibroid cell destruction: The heat damages fibroid cells and triggers coagulative necrosis, effectively breaking down the fibroid tissue.
- Protection of healthy tissue: HIFU precisely controls its focus area, ensuring surrounding healthy tissue remains unharmed.
- Natural absorption: The destroyed fibroid cells are gradually absorbed by the body, causing the fibroid to shrink over time.
Advantages of HIFU for Fibroid Treatment
Some key advantages of HIFU for fibroid treatment include:
- Non-invasive: No incisions are required, significantly reducing the risk of infection compared with conventional surgery.
- Radiation-free: The technology uses ultrasound waves, not electromagnetic radiation or radioactive substances.
- No general anesthesia: The procedure uses mild sedation or analgesia instead of general anesthesia.
- Fertility-preserving: With precise mapping and targeting, HIFU maintains the structure and function of the uterus.
- Faster recovery: Without surgical incisions, recovery time is shorter and patients can return to daily activities sooner.
Fibroid Specialists at Mandaya Royal Hospital Puri
In addition to advanced HIFU technology, Mandaya Royal Hospital Puri is supported by an experienced team of fibroid specialists, including:
1. dr. Gracia Merryane R.G Rauw, Sp.OG
dr. Gracia Merryane R.G Rauw, Sp.OG is an Obstetrics and Gynecology specialist focusing on women’s reproductive health, pregnancy care, and various gynecological conditions. She completed her medical and specialist training at Sam Ratulangi University.
She provides a wide range of services, including routine women’s health check-ups, pre-pregnancy planning, lactation consultations, family planning consultations, ovulation induction, normal and cesarean delivery, as well as gynecological procedures such as hysterectomy, sterilization, laparoscopy, Pap smear, SIS, and LEEP.
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 a consultant obstetrician-gynecologist with extensive experience in reproductive health and gynecology. He graduated from Trisakti University, completed his specialist training at Hasanuddin University, and earned his Consultant degree from the University of Indonesia.
His services include preconceptional care, prenatal diagnosis, fetal imaging, contraceptive counseling, management of pregnancy complications, 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, Subsp. Onk
dr. Ong Tjandra is a gynecologic oncology subspecialist experienced in treating cervical cancer, ovarian cancer, vaginal cancer, and various gynecological disorders. He is skilled in laparoscopic fibroid and cyst surgery, as well as hysterectomy. He is known for providing comprehensive care for complex cancer and gynecology cases.
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 a gynecologic oncology subspecialist with academic training from Sriwijaya University, Sebelas Maret University, and advanced consultant and doctoral programs at the University of Indonesia.
He treats cervical cancer, uterine cancer, ovarian cancer, vulvar cancer, vaginal cancer, as well as benign conditions such as polyps and uterine tumors. His meticulous and empathetic approach ensures patient comfort throughout their treatment journey.
Schedule at Mandaya Royal Hospital Puri:
- Tuesday: 16.00–20.00 WIB
- Thursday: 16.00–20.00 WIB
- Saturday: 13.00–16.00 WIB
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