Uterine fibroids are benign tumors that develop inside or around the uterus. These growths originate from uterine muscle and connective tissue, with sizes ranging from very small to as large as a grapefruit. Some women with fibroids experience no symptoms, but in certain cases, fibroids can cause excessive menstrual bleeding, severe menstrual pain, a feeling of pressure in the pelvic area, and increased urinary frequency. If not properly treated, these symptoms can interfere with daily activities and negatively impact quality of life.
At Mandaya Royal Hospital Puri, patients have the option of non-surgical fibroid treatment through the use of HIFU technology. This method offers a more comfortable treatment with minimal risk, making it an ideal solution for women who wish to treat fibroids without undergoing surgery.
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Understanding HIFU Technology for Fibroids at Mandaya Royal Puri Hospital
HIFU, or High-Intensity Focused Ultrasound, is a non-invasive technology used to treat fibroids without incisions. This method works by focusing high-intensity ultrasound waves from outside the body directly onto the fibroid tissue inside the uterus. At the focal point, high temperatures are generated, selectively destroying fibroid cells without damaging surrounding healthy tissue.
Mechanistically, HIFU technology produces heat in a precisely mapped area using targeted ultrasound waves. This heat triggers coagulative necrosis in fibroid cells, allowing the tumor tissue to be effectively destroyed without affecting nearby normal tissue. With its high level of accuracy, HIFU is a safe and modern treatment option for benign uterine fibroids.
How HIFU Works in Treating Fibroids
The following are the stages of how HIFU technology works to treat fibroids:
1. Focused ultrasound targeting
High-intensity ultrasound waves are precisely directed at the fibroid tissue to concentrate energy on the target area.
2. Controlled heat generation
The ultrasound energy delivered to the fibroid is converted into heat, creating a high-temperature focal point within the targeted tissue.
3. Destruction of fibroid cells
The high temperature damages fibroid cells and triggers coagulative necrosis, effectively breaking down the fibroid tissue.
4. Protection of healthy tissue
HIFU technology allows highly precise control of the focal point, ensuring that surrounding healthy tissue remains protected.
5. Natural absorption by the body
The damaged fibroid tissue is gradually absorbed by the body, causing the fibroid to shrink over time.
Advantages of HIFU for Fibroid Treatment
HIFU technology offers several advantages in the management of uterine fibroids, including:
- Non-invasive treatment with no incisions, resulting in a significantly lower risk of infection compared to conventional surgery.
- No radiation exposure, as the procedure uses ultrasound waves rather than electromagnetic radiation.
- No need for general anesthesia; the procedure is performed with mild sedation or analgesia.
- Fertility preservation, as fibroids are targeted precisely without damaging the uterine structure.
- Faster recovery, allowing patients to return to daily activities within a relatively short time.
Expert OB-GYN Specialists for Fibroid Treatment at Mandaya Royal Puri Hospital
In addition to advanced medical technology, Mandaya Royal Puri Hospital is supported by a team of experienced obstetrics and gynecology specialists in fibroid management, including:
1. dr. Gracia Merryane R.G. Rauw, Sp.OG

dr. Gracia Merryane R.G. Rauw is an Obstetrics and Gynecology specialist with a focus on women’s reproductive health, pregnancy care, and various gynecological disorders. She completed her general medical and specialist education at the Faculty of Medicine, Sam Ratulangi University.
Her services include routine examinations, pregnancy planning, lactation and family planning consultations, ovulation induction, normal delivery and cesarean section, as well as gynecological procedures such as hysterectomy, laparoscopy, Pap smear, SIS, and LEEP.
dr. Gracia Merryane R.G. Rauw, Sp.OG is available at Mandaya Royal Puri Hospital on:
- Monday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Tuesday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Wednesday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Thursday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Friday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- 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 Obstetrics and Gynecology specialist with extensive experience in reproductive health and gynecology. He completed his medical education at Trisakti University, pursued specialist training at Hasanuddin University, and obtained his consultant degree at the University of Indonesia.
His clinical services include preconception care, prenatal diagnosis, fetal imaging, contraceptive selection, management of pregnancy complications, benign gynecological disorders, and minimally invasive procedures.
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes is available at Mandaya Royal Puri Hospital on:
- 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, M.Kes, Sp.OG (K), Subsp. Onk is a gynecologic oncology subspecialist experienced in treating cervical cancer, ovarian cancer, vaginal cancer, and various other gynecological conditions. He is also skilled in performing fibroid and cyst surgeries using laparoscopic techniques as well as hysterectomy.
dr. Ong Tjandra, M.Kes, Sp.OG (K), Subsp. Onk is available at Mandaya Royal Puri Hospital on:
- Monday: 10.00 – 17.00 WIB
- Thursday: 16.00 – 20.00 WIB.
4. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk

Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk is an Obstetrics and Gynecology specialist with a subspecialty in oncology. He completed his education at Sriwijaya University and Sebelas Maret University, and later obtained his Doctoral and Consultant degrees from the University of Indonesia.
He manages a wide range of gynecologic oncology cases, including cervical, uterine, ovarian, vulvar, and vaginal cancers, as well as benign conditions such as polyps and uterine tumors. His meticulous and empathetic approach helps patients feel more comfortable throughout their treatment journey.
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk is available at Mandaya Royal Puri Hospital on:
- Tuesday: 16.00 – 20.00 WIB
- Thursday: 16.00 – 20.00 WIB
- Saturday: 13.00 – 16.00 WIB.
To make your visit more convenient, please use the Chat feature via WhatsApp, Book Appointment, or the Care Dokter application, available for download on Google Play and the App Store, to schedule visits, check queue numbers, and access other comprehensive information.

