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. 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 women’s reproductive health, pregnancy care, and complex gynecological conditions. He earned his medical degree from Trisakti University, completed his specialist training at Hasanuddin University, and obtained his consultant qualification from the University of Indonesia.
His services include preconception counseling, fetal assessment during pregnancy, contraceptive consultations, and management of pregnancy-related complications. dr. Doddy is also experienced in treating various benign gynecological disorders and performing minimally invasive procedures that help promote faster recovery.
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes can be found at Mandaya Royal Hospital Puri on:
- Tuesday: 17.00 – 20.00 WIB
- Thursday: 13.00 – 16.00 WIB
- Saturday: 08.00 – 12.00 WIB
2. dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an Obstetrician and Gynecologist who provides comprehensive reproductive healthcare services for women. His practice covers fertility planning, pregnancy monitoring, and the management of a wide range of gynecological conditions.
His expertise includes ultrasound examinations, prenatal diagnosis, contraceptive counseling, and the management of pregnancy-related complications. He completed his medical education at Sam Ratulangi University, followed by specialist training at San Juan de Dios Educational Foundation and an Obstetrics and Gynecology adaptation program at Udayana University.
dr. Edward Tony Ngantung, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- 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
3. dr. Erik Sutandi, Sp.OG
dr. Erik Sutandi, Sp.OG is an Obstetrician and Gynecologist with expertise in women’s reproductive health, fertility care, pregnancy management, and gynecological disorders. He has extensive experience in helping patients with fertility concerns, hormonal imbalances, pregnancy care, and childbirth.
He earned his medical degree from Maranatha Christian University in Bandung and completed his Obstetrics and Gynecology specialty training at San Juan De Dios Hospital in Manila, Philippines. He further enhanced his expertise through a residency adaptation program at Sanglah General Hospital and a fellowship in reproductive gynecologic endoscopy and fertility.
dr. Erik Sutandi, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 17.00 – 20.00 WIB
- Wednesday: 14.00 – 16.00 WIB
- Friday: 17.00 – 20.00 WIB
- Saturday: 14.00 – 16.00 WIB
4. dr. Gracia Merryane R.G. Rauw, Sp.OG
dr. Gracia Merryane R.G. Rauw, Sp.OG is an Obstetrician and Gynecologist with expertise in women’s reproductive health, pregnancy care, and the management of various reproductive system disorders. She completed both her medical degree and Obstetrics & Gynecology specialist training at the Faculty of Medicine, Sam Ratulangi University.
In her clinical practice, dr. Gracia provides a wide range of women’s health services, including routine gynecological examinations, fertility planning, and obstetric and gynecological procedures. Her services include lactation consultations, family planning consultations, ovulation induction, labor induction, cesarean delivery, hysterectomy, laparoscopy, sterilization procedures, Pap smears, Saline Infusion Sonohysterography (SIS), and LEEP procedures for cervical abnormalities.
dr. Gracia Merryane R.G. Rauw, Sp.OG can be found at Mandaya Royal Hospital Puri 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
5. dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS is a Consultant Obstetrician and Gynecologist specializing in Fertility and Reproductive Endocrinology. His practice focuses on fertility evaluations, pregnancy programs, and assisted reproductive technologies to help couples achieve pregnancy.
He completed his medical education at Padjadjaran University, followed by specialist training and a Master of Health degree at Hasanuddin University. He later earned a Master of Hospital Administration from the University of Indonesia.
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS can be found at Mandaya Royal Hospital Puri on:
- Monday: 13.00 – 16.00 WIB
- Tuesday: 13.00 – 16.00 WIB
- Wednesday: 13.00 – 16.00 WIB
- Thursday: 13.00 – 16.00 WIB
- Friday: 13.00 – 16.00 WIB
- Saturday: 13.00 – 16.00 WIB
6. dr. Sigit Pradono Diptoadi, Sp.OG
dr. Sigit Pradono Diptoadi, Sp.OG is an Obstetrician and Gynecologist experienced in supporting patients throughout their fertility journey, pregnancy, and childbirth. He also treats a variety of gynecological conditions with personalized treatment plans tailored to each patient’s needs.
He completed his medical education at Atma Jaya Catholic University of Indonesia and pursued his Obstetrics and Gynecology specialty training at Ramon Magsaysay Memorial Medical Center, University of the East.
dr. Sigit Pradono Diptoadi, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 17.00 – 20.00 WIB
- Friday: 17.00 – 20.00 WIB
- Saturday: 17.00 – 20.00 WIB
7. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk is an Obstetrician and Gynecologist with a subspecialty in Gynecologic Oncology. He specializes in diagnosing and treating cancers affecting the female reproductive system, including cervical cancer, ovarian cancer, uterine cancer, vulvar cancer, and vaginal cancer.
In addition to treating gynecologic cancers, Dr. Unedo is experienced in managing benign gynecological conditions such as uterine polyps and tumors. He completed his medical education at Sriwijaya University and Sebelas Maret University before pursuing subspecialty training in Gynecologic Oncology and earning a doctoral degree from the University of Indonesia. His approach focuses on comprehensive, well-planned, and patient-centered care.
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk can be found at Mandaya Royal Hospital Puri on:
- 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.
