No Surgery Needed: How HIFU Treats Uterine Fibroids with Sound Waves

Tanpa Operasi, Ini Cara HIFU Atasi Miom Rahim dengan Gelombang Suara

Uterine fibroids are benign tumors that grow in the wall or muscle of the uterus and are commonly experienced by women of reproductive age. Although they do not always cause symptoms, fibroids may lead to lower abdominal pain, heavy menstrual bleeding, abdominal fullness, frequent urination, and even fertility problems.

Traditionally, fibroids have been treated through conventional surgical procedures such as myomectomy (removal of fibroids) or hysterectomy (removal of the uterus). While effective, these procedures require incisions and involve a considerable recovery period.

Today, a modern alternative called HIFU (High-Intensity Focused Ultrasound) offers treatment for uterine fibroids without surgery and without incisions. This advanced technology is available at RS Mandaya Royal Puri. With its non-invasive approach, patients can undergo fibroid treatment with lower risks and faster recovery compared to conventional surgery.

What Is HIFU?

HIFU is an advanced therapeutic technology that utilizes high-intensity focused ultrasound waves directed precisely at a small area of fibroid or tumor tissue. These waves generate controlled heat of approximately 60–90°C, effectively destroying and killing fibroid cells without the need for surgery. Because the energy is concentrated only on the targeted tissue, the surrounding healthy tissue remains unharmed.

After the fibroid cells are destroyed, the damaged tissue is not surgically removed. Instead, it is gradually broken down and naturally absorbed by the body over several weeks to approximately 90 days.

The key advantages of HIFU include:

  • No surgery
  • No incisions
  • No radiation

This technology has been used in 37 countries worldwide and has treated more than 500,000 patients, making it one of the most widely adopted non-invasive therapies globally.

How Does HIFU Work to Treat Fibroids Without Surgery?

HIFU treats uterine fibroids using focused sound wave technology through the following process:

  1. Precise Targeting: Ultrasound waves are directed with millimeter-level precision to a small, specific point within the fibroid tissue.

  2. Heat Generation: At the targeted point, ultrasound energy is converted into high heat, reaching temperatures of approximately 60–90°C.

  3. Cell Destruction: The heat triggers protein coagulation and causes cell death (necrosis) in the targeted fibroid or tumor tissue.

  4. Natural Absorption: Once the cells are destroyed, the treated tissue is gradually broken down and absorbed naturally by the body over several weeks, typically within about 90 days.

Fibroid and HIFU Specialists at RS Mandaya Royal Puri

In addition to offering advanced HIFU (High-Intensity Focused Ultrasound) technology, RS Mandaya Royal Puri is supported by a team of obstetrics and gynecology specialists who have undergone intensive HIFU training in China. The combination of modern technology and experienced medical professionals ensures comprehensive fibroid management tailored to each patient’s medical condition.

Below is the team of fibroid and HIFU specialists at RS Mandaya Royal Puri:

1. dr. Gracia Merryane R.G Rauw, Sp.OG

An Obstetrics and Gynecology specialist focused on women’s reproductive health, pregnancy monitoring, and the management of gynecological conditions, including uterine fibroids. She completed her medical and specialist education at Sam Ratulangi University.

Her services include routine women’s health check-ups, fertility programs, lactation consultation, family planning services, ovulation induction, vaginal delivery, cesarean section, hysterectomy, sterilization, laparoscopy, Pap smear, saline infusion sonography (SIS), and LEEP procedures.

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

A consultant Obstetrics and Gynecology specialist with extensive experience in reproductive health and gynecological disorders. He completed his medical degree at Trisakti University, specialist training at Hasanuddin University, and consultant training at the University of Indonesia.

His services include preconception care, prenatal diagnosis, fetal imaging, contraception counseling, pregnancy complication management, and minimally invasive gynecologic procedures.

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

A subspecialist in gynecologic oncology who completed his education at Sriwijaya University and Sebelas Maret University, and later earned his Consultant and Doctoral degrees at the University of Indonesia.

He treats various cancers of the female reproductive system, including cervical, uterine, ovarian, vulvar, and vaginal cancers. In addition to malignancies, he also manages benign conditions such as polyps and uterine tumors, including fibroids, with a thorough and systematic approach.

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

edward tony ngantung

An Obstetrics and Gynecology specialist providing comprehensive women’s healthcare, from preconception planning to gynecological treatment. He completed his medical education at Sam Ratulangi University and specialist training abroad, followed by adaptation training at Udayana University.

His expertise includes prenatal care, ultrasound and fetal imaging, contraception counseling, pregnancy complication management, and minimally invasive gynecologic procedures.

Practice Schedule:

  • Monday: 14.00–16.30 WIB
  • Tuesday: 11.00–14.00 WIB
  • Wednesday & Thursday: 17.00–20.00 WIB
  • Friday: 10.00–14.00 WIB
  • Saturday: 09.00–13.00 WIB

5. dr. Erik Sutandi, Sp.OG

An Obstetrics and Gynecology specialist who manages various aspects of women’s reproductive health, including pregnancy, childbirth, hormonal disorders, and uterine fibroids. He completed his medical degree at Maranatha Christian University and specialist training in Manila, Philippines, followed by additional training in reproductive endoscopy and fertility.

His services include fertility consultation, ovulation induction, pregnancy monitoring, cesarean section, hormonal evaluation, TORCH testing, 4D ultrasound, transvaginal ultrasound, Pap smear, HPV vaccination, and other gynecologic procedures.

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

6. dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS

A Fertility Consultant specializing in reproductive services and fertility programs. He completed his medical education at Padjadjaran University, specialist and Master of Health degrees at Hasanuddin University, and earned a Master of Hospital Administration from the University of Indonesia.

His expertise includes fertility evaluation, hormonal assessment, ovulation induction, hydrotubation, IVF programs, pregnancy consultation, cesarean section, ectopic pregnancy management, contraception services (IUD, injections, implants), Pap smear, HPV vaccination, and various ultrasound services including 4D and transvaginal ultrasound.

Practice Schedule:

  • Monday–Saturday: 13.00–16.00 WIB

7. dr. Sigit Pradono Diptoadi, Sp.OG

An Obstetrics and Gynecology specialist who graduated from the Faculty of Medicine at Atma Jaya Catholic University of Indonesia and completed his residency at Ramon Magsaysay Memorial Medical Center, University of the East.

He is experienced in fertility programs, ovulation induction, pregnancy monitoring, labor induction, 4D ultrasound examinations, and comprehensive gynecological consultations.

Practice Schedule:

  • Monday: 17.00–20.00 WIB
  • Friday: 17.00–20.00 WIB
  • Saturday: 17.00–20.00 WIB

To make your visit to RS Mandaya Royal Puri easier for HIFU consultation, you can use the WhatsApp Chat feature, book an appointment online, or download the Care Dokter application via Google Play or the App Store to manage queue numbers and access complete information conveniently.

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