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. Gracia Merryane R.G Rauw, Sp.OG
dr. Gracia Merryane R.G Rauw, Sp.OG is an obstetrician and gynecologist who specializes in women’s reproductive health, pregnancy care, and various gynecological conditions. She completed both her general medical and specialist education at the Faculty of Medicine, Sam Ratulangi University.
Her services include pregnancy consultations, fertility programs, contraception and lactation consultations, ovulation induction, normal delivery and cesarean section, as well as gynecological procedures such as laparoscopy, hysterectomy, Pap smear, SIS, and LEEP.
Practice schedule at Mandaya Royal Puri Hospital:
- Monday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Tuesday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Wednesday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Thursday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Friday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Saturday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
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 women’s reproductive health and gynecological disorders. He graduated from the Faculty of Medicine, Trisakti University, completed 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, management of pregnancy complications, benign gynecological disorders, and minimally invasive procedures.
Practice schedule at Mandaya Royal Puri Hospital:
- Tuesday: 05.00 PM – 08.00 PM
- Thursday: 01.00 PM – 04.00 PM
- Saturday: 08.00 AM – 12.00 PM
3. 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 specializing in gynecologic oncology. He completed his education at Sriwijaya University, Sebelas Maret University, and later obtained his Doctoral and Consultant degrees from the University of Indonesia.
He handles various gynecological cancer cases, including cervical, uterine, ovarian, vulvar, and vaginal cancers, as well as benign conditions such as uterine polyps and tumors. His attentive and communicative approach helps patients feel more comfortable during treatment.
Practice schedule at Mandaya Royal Puri Hospital:
- Tuesday: 04.00 PM – 08.00 PM
- Thursday: 04.00 PM – 08.00 PM
- Saturday: 01.00 PM – 04.00 PM
4. dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an obstetrician and gynecologist who provides comprehensive women’s healthcare services, from pregnancy preparation to the treatment of gynecological disorders. He completed his medical degree at Sam Ratulangi University, specialist training at San Juan de Dios Educational Foundation, and adaptation training at Udayana University.
He has experience in preconception consultations, advanced pregnancy examinations, fetal imaging, contraception counseling, pregnancy complication management, and minimally invasive procedures for benign gynecological disorders.
Practice schedule at Mandaya Royal Puri Hospital:
- Monday: 02.00 PM – 04.30 PM
- Tuesday: 11.00 AM – 02.00 PM
- Wednesday: 05.00 PM – 08.00 PM
- Thursday: 05.00 PM – 08.00 PM
- Friday: 10.00 AM – 02.00 PM
- Saturday: 09.00 AM – 01.00 PM
5. dr. Erik Sutandi, Sp.OG
dr. Erik Sutandi, Sp.OG is an obstetrician and gynecologist experienced in pregnancy care, childbirth, hormonal disorders, and fertility programs. He studied at Maranatha Christian University and San Juan De Dios Hospital Manila and completed a gynecologic endoscopy fellowship.
His services include pregnancy consultations, fertility programs, fertility examinations, labor induction, normal delivery and cesarean section, ultrasound examinations, contraception, Pap smear, and HPV vaccination.
Practice schedule at Mandaya Royal Puri Hospital:
- Monday: 05.00 PM – 08.00 PM
- Wednesday: 02.00 PM – 04.00 PM
- Friday: 05.00 PM – 08.00 PM
- Saturday: 02.00 PM – 04.00 PM
6. 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 medicine. He completed his medical education at Padjadjaran University, specialist and Master of Health studies at Hasanuddin University, and a Master of Hospital Management program at the University of Indonesia.
His clinical practice includes fertility consultations, hormonal and fertility evaluations, ovulation induction, hydrotubation, IVF programs, pregnancy consultations, delivery procedures, contraceptive services, Pap smear, HPV vaccination, and various ultrasound examinations.
Practice schedule at Mandaya Royal Puri Hospital:
- Monday to Saturday: 01.00 PM – 04.00 PM
7. dr. Sigit Pradono Diptoadi, Sp.OG
dr. Sigit Pradono Diptoadi, Sp.OG is an obstetrician and gynecologist who completed his medical education at Atma Jaya Catholic University and his obstetrics and gynecology residency at Ramon Magsaysay Memorial Medical Center, University of the East.
He is experienced in fertility consultations, ovulation induction, pregnancy consultations, labor induction, 4D ultrasound examinations, and comprehensive gynecological care.
Practice schedule at Mandaya Royal Puri Hospital:
- Monday: 05.00 PM – 08.00 PM
- Friday: 05.00 PM – 08.00 PM
- Saturday: 05.00 PM – 08.00 PM
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.
