Uterine fibroids are benign growths that develop from the muscular tissue of the uterus and are commonly experienced by women. Although they are generally non-cancerous, fibroids can still cause various symptoms, such as pelvic pain, heavy menstrual bleeding, irregular periods, and a feeling of fullness or pressure in the lower abdomen. However, some women may not experience any symptoms at all and only discover the fibroids during a medical examination. Fibroid treatment usually depends on the size, location, number of fibroids, and the symptoms experienced by the patient.
For years, fibroid treatment has often been associated with surgery. In some cases, patients may even be advised to undergo a hysterectomy or uterus removal surgery, especially when the fibroids are large or numerous. This can certainly be distressing for women who still wish to have children. Another option is hysteroscopy, a procedure that involves inserting special instruments through the vagina to treat certain types of fibroids. Although minimally invasive, it is still a medical procedure that may cause anxiety or discomfort for some patients.
For women with fibroids who wish to avoid surgery, High-Intensity Focused Ultrasound (HIFU) technology is now available at Mandaya Royal Puri Hospital. This technology uses ultrasound waves to precisely target and destroy fibroid tissue without the need for surgery or incisions. HIFU procedures at Mandaya Royal Puri Hospital are performed by a team of obstetrics and gynecology (OBGYN) specialists who have undergone intensive training directly at HIFU centers in China.
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Understanding HIFU: A Non-Surgical Technology for Fibroid Treatment
HIFU is a minimally invasive medical procedure that uses ultrasound waves to treat certain conditions, including tumors and fibroids. Its mechanism is similar to how a magnifying glass focuses sunlight on a specific point.
During a HIFU procedure, ultrasound waves are precisely focused on the targeted tissue. The heat energy generated by these waves raises the temperature of the targeted area, causing the abnormal tissue to be destroyed through ablation. Interestingly, these ultrasound waves can pass through layers of body tissue, such as the skin, without damaging them until they reach the treatment target.
In simple terms, here is how HIFU works for non-surgical fibroid treatment:
- Ultrasound waves are focused on a small targeted point
- At the focal point, the energy is converted into high heat (approximately 60–90°C)
- The heat causes protein coagulation and tissue necrosis, destroying the targeted tumor cells
- The damaged tissue is then gradually absorbed by the body over several weeks to months (around 90 days)
Although HIFU may still sound relatively new, this technology has already been widely used around the world. Hundreds of thousands of patients have undergone HIFU treatment, and the technology has received recognition from international medical safety and quality regulatory bodies.
HIFU Technology Has Been Used Worldwide and Recognized by the FDA & European CE
HIFU technology has been widely implemented in many countries as a non-surgical treatment option for various medical conditions, including uterine fibroids. Its use continues to grow globally due to its minimally invasive and incision-free approach.
Some important facts about HIFU technology include:
- Used in more than 37 countries
- Has treated more than 500,000 patients worldwide
- Recognized by the United States Food and Drug Administration (FDA)
- Certified with the European CE mark as an international medical safety and quality standard
Advantages of HIFU for Fibroid Treatment
HIFU offers several advantages as a non-surgical solution for fibroid treatment. Compared to conventional surgery, this method is less invasive, more comfortable for patients, and generally allows for faster recovery. Some of the benefits of HIFU include:
- No surgical incisions or stitches are required
- Causes less pain compared to conventional surgery
- Uses ultrasound waves instead of radiation to precisely target fibroids
- Helps preserve the uterus and maintain reproductive function
- Lower risk of bleeding because no open surgery is performed
- Shorter recovery time with minimal hospitalization
- Patients can usually return to daily activities more quickly after the procedure
What Happens If Fibroids Are Left Untreated?
Although fibroids are generally benign, they should not be ignored because they can lead to several complications, including:
- Increasing and difficult-to-control pain
- Swelling in the abdominal or pelvic area
- Excessive bleeding
- Anemia due to significant blood loss
- Fertility problems or infertility (although relatively rare)
When Should I See a Doctor?
Small fibroids often do not cause symptoms, so many women are unaware of their presence. However, as fibroids grow larger, they can trigger symptoms that interfere with daily life. Signs that should not be ignored include:
- Very heavy or unusually painful menstruation
- Bleeding outside the menstrual cycle
- A feeling of fullness, bloating, or enlargement in the lower abdomen
- Frequent urination caused by pressure on the bladder
- Pain during sexual intercourse
- Lower back pain
- Constipation or pressure around the rectal and pelvic area
- Persistent vaginal discharge
- Difficulty urinating or feeling unable to completely empty the bladder
- An enlarged abdomen that may resemble pregnancy
If you experience one or more of these symptoms, it is important to consult an OBGYN specialist. Early diagnosis and evaluation are essential to determine whether the symptoms are caused by fibroids and to decide the most appropriate treatment.
Expert HIFU OBGYN Team at Mandaya Royal Puri Hospital
In addition to their extensive experience, the OBGYN team at Mandaya Royal Puri Hospital has also undergone intensive training at HIFU centers in China.
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 access queue numbers and other important information.
The information available on this page is intended for educational and general informational purposes only and may not represent the full range of medical services provided by each doctor. For treatment tailored to your condition, direct consultation with the relevant doctor is recommended.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
