High-Intensity Focused Ultrasound (HIFU) is a modern medical technology used to treat uterine fibroids without open surgery. This method is classified as non-invasive because it does not require incisions, stitches, or conventional surgical procedures. HIFU is one of the latest innovations in obstetrics and gynecology, offering a more comfortable treatment alternative with lower bleeding risk and a relatively faster recovery period compared to surgery.
Today, HIFU technology is available at RS Mandaya Royal Puri as a non-surgical option for fibroid treatment. Its implementation is supported by obstetricians and gynecologists who have undergone intensive HIFU training in China, ensuring the procedure meets international standards while prioritizing patient safety and comfort.
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How HIFU Technology Works to Treat Fibroids Without Surgery
Below is how HIFU technology works to treat fibroids without surgery:
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Highly precise focused ultrasound waves: During a HIFU procedure, high-intensity ultrasound waves are precisely directed at a small focal point within the fibroid tissue. The accuracy reaches the millimeter scale, ensuring that the energy is concentrated only on the targeted area. With the assistance of medical imaging, doctors can ensure that surrounding healthy tissue remains safe and unaffected.
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Energy converts into high heat at the target point: When the ultrasound waves converge at the designated point, the energy transforms into heat with temperatures ranging from approximately 60–90°C. This heat is generated only at the focal area, not throughout the entire organ, making the effect controlled and directly targeted at the fibroid tissue.
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Heat causes fibroid cells to be damaged and destroyed: The high temperature causes proteins within the fibroid cells to coagulate. As a result, the fibroid cells experience permanent damage and eventually die (necrosis). This process occurs without any incision or open surgery, as the entire treatment is performed externally.
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Damaged tissue is naturally absorbed by the body: After the fibroid cells die, the body gradually absorbs the damaged tissue through natural biological mechanisms. This shrinkage process is not immediate but occurs progressively over several weeks to months, generally around 90 days. Over time, the fibroid decreases in size without the need for conventional surgical intervention.
Advantages of HIFU for Fibroid Treatment
HIFU technology offers numerous benefits as a non-surgical solution for fibroid management. Compared to conventional surgical procedures, this method provides greater comfort, lower risk, and a shorter recovery time. Key benefits include:
- No surgical incisions required: The HIFU procedure is performed without open surgery, meaning there are no incisions or stitches on the body.
- Milder pain levels: As a non-invasive procedure, HIFU generally causes significantly less discomfort compared to conventional surgery.
- No radiation exposure: HIFU uses ultrasound waves rather than radiation, making it safer in terms of radiation exposure.
- Uterus preservation: In many cases, HIFU allows fibroids to be treated without removing the uterus, helping preserve reproductive function.
- Very low bleeding risk: Since there are no incisions or open surgical procedures, the risk of bleeding during treatment is significantly reduced.
- Shorter recovery period: Patients typically do not require prolonged hospitalization and can recover faster compared to traditional surgery.
- Faster return to daily activities: With a relatively quick recovery, patients can usually resume normal daily activities sooner.
Fibroid and HIFU Specialists at Mandaya Royal Hospital Puri
In addition to advanced HIFU technology, RS Mandaya Royal Puri is supported by a team of experienced obstetrics and gynecology specialists skilled in performing HIFU procedures for uterine fibroids. These doctors have completed intensive HIFU training in China, equipping them with in-depth knowledge of technique, safety, and international procedural standards for non-invasive therapy.
Below is the specialist team experienced in performing HIFU procedures for uterine fibroids:
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 monitoring, and the management of various gynecological conditions. She completed her general medical and specialist education at the Faculty of Medicine, Sam Ratulangi University, providing a strong foundation for her clinical practice.
She provides comprehensive services, including routine women’s health check-ups, pregnancy planning programs, lactation consultations, family planning services, ovulation induction, normal delivery, cesarean section, and various gynecological procedures such as hysterectomy, sterilization, laparoscopy, Pap smear, saline infusion sonography (SIS), and LEEP.
Practice schedule:
- 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 and Gynecologist with extensive experience in reproductive health and gynecological disorders. He completed his medical education at the Faculty of Medicine, Trisakti University, continued his specialist training at Hasanuddin University, and earned his Consultant degree from the University of Indonesia.
His services include preconception care, prenatal diagnosis, fetal imaging, contraceptive counseling, pregnancy complication management, and treatment of benign gynecological disorders using minimally invasive procedures when medically indicated.
Practice schedule:
- Tuesday: 17:00–20:00 WIB
- Thursday: 13:00–16:00 WIB
- Saturday: 08:00–12:00 WIB
3. 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 medical education at Sriwijaya University and Sebelas Maret University, and later obtained his Consultant and Doctoral degrees from the University of Indonesia.
As a gynecologic oncology specialist, he manages various cancers of the female reproductive system, including cervical cancer, uterine cancer, ovarian cancer, vulvar cancer, and vaginal cancer. He also treats benign conditions such as polyps and uterine tumors. His careful, systematic, and empathetic approach adds value to patient care.
Practice schedule:
- Tuesday: 16:00–20:00 WIB
- Thursday: 16:00–20:00 WIB
- Saturday: 13:00–16:00 WIB
4. dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an Obstetrics and Gynecology specialist providing comprehensive women’s healthcare services, from pregnancy preparation to gynecological disorder management. He completed his general medical education at Sam Ratulangi University, specialist training at San Juan de Dios Educational Foundation, and an obstetrics and gynecology adaptation program at Udayana University.
His expertise includes preconception care, prenatal diagnosis, fetal imaging, contraceptive counseling, pregnancy complication management, treatment of benign gynecological disorders, and minimally invasive procedures tailored to patient needs.
Practice schedule:
- Monday: 14:00–16:30 WIB
- Tuesday: 11:00–14:00 WIB
- Wednesday: 17:00–20:00 WIB
- Thursday: 17:00–20:00 WIB
- Friday: 10:00–14:00 WIB
- Saturday: 09:00–13:00 WIB
5. dr. Erik Sutandi, Sp.OG
dr. Erik Sutandi, Sp.OG is an Obstetrics and Gynecology specialist who manages various aspects of women’s reproductive health, including pregnancy, childbirth, and hormonal disorders. He completed his general medical education at Maranatha Christian University, Bandung, continued his specialist training at San Juan De Dios Hospital, Manila, Philippines, and completed an Obgyn residency adaptation program at Sanglah General Hospital, Denpasar, along with a fellowship in reproductive gynecologic endoscopy and fertility.
His expertise includes pregnancy consultations, fertility programs, lactation counseling, ovulation induction, labor management, curettage procedures, normal delivery, cesarean section, fertility assessments, hormonal evaluation, TORCH screening, pregnancy ultrasound, transvaginal ultrasound, prenatal testing, contraceptive services, Pap smear, HPV vaccination, and other gynecological procedures as needed.
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
To make your visit to RS Mandaya Royal Puri more convenient for HIFU consultation, you can use the WhatsApp Chat feature, Book Appointment service, or download the Care Dokter application via Google Play and the App Store. These services allow you to schedule appointments, check queue numbers, and access comprehensive information more easily.
