High-Intensity Focused Ultrasound (HIFU) is now considered one of the most advanced treatment options for uterine fibroids without surgery. At Mandaya Royal Puri Hospital, obstetrician and gynecologist dr. Edward Tony Ngantung, Sp.OG, successfully performed a HIFU procedure on a 6×7 cm fibroid. This method offers an innovative solution for patients seeking a minimally invasive treatment, without incisions, and with a faster recovery time compared to conventional surgery.
“I chose HIFU because I wanted to avoid a hysterectomy, as I still plan to try for another pregnancy in the future. That’s why I decided that HIFU was the best option for me,” said the patient.
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HIFU as a Non-Surgical Solution for Fibroids
A 40-year-old patient from Jakarta, Angela, came to Mandaya Royal Puri Hospital with complaints of prolonged menstrual bleeding lasting more than 20 days. After further examination, she was diagnosed with uterine fibroids and adenomyosis, with the fibroid measuring approximately 6–7 cm.
In such cases, surgical removal of the uterus (hysterectomy) is often considered as a treatment option. However, for patients who still wish to conceive in the future, this option can be a major concern.
Considering her condition, dr. Edward recommended HIFU as an alternative treatment. HIFU works by destroying fibroid tissue using high-intensity ultrasound waves without the need for incisions, allowing the uterus to be preserved.
Comfortable and Minimally Painful HIFU Procedure
During the HIFU procedure, the patient lies in a prone position on a specialized machine. The procedure is performed under light sedation, ensuring the patient remains comfortable throughout.
“HIFU was very helpful. The process went smoothly, and the medical team at Mandaya Hospital provided excellent support. During the procedure, we lie down similar to an MRI, but instead of lying on our back, we lie face down,” the patient shared.
“There is a warm sensation, but it’s not excessive. The procedure is not painful, so for women who are worried about pain, this is a great solution,” she added.
Unlike conventional surgery, HIFU does not involve any incisions. Patients typically only feel a mild warm sensation in the treated area, without significant pain. This makes HIFU a more comfortable option, especially for those concerned about pain or long recovery times.
Additionally, the procedure is supported by an experienced medical team, ensuring safety and comfort throughout the treatment.
HIFU Results and Doctor’s Explanation
“Over the past few months, the patient came to me with complaints of bleeding and menstrual pain. After performing an ultrasound, we found a mass in the uterus measuring 6×7 cm,” explained dr. Edward.
“We recommended HIFU because it is a non-invasive technology—no incisions, no surgery—and it offers faster recovery. Considering her age and her desire to have another child, HIFU is beneficial because it does not leave scars on the uterus, reducing the risk of uterine rupture compared to myomectomy,” he added.
Post-procedure evaluation showed that approximately 80–90% of the fibroid tissue had been successfully ablated. This demonstrates that HIFU is highly effective in significantly reducing fibroid size.
One of the key advantages of HIFU is that it does not create scars on the uterus, which lowers the risk of complications such as uterine rupture during future pregnancies compared to surgical procedures like myomectomy. This is particularly important for patients who still plan to conceive.
After the procedure, patients are advised to undergo regular follow-ups and monitoring over the next several months to ensure optimal recovery and track fibroid shrinkage.
With these advantages, HIFU stands out as a modern, effective, and safe solution for treating fibroids, especially for women who wish to preserve their fertility without undergoing surgery.
Profile and Practice Schedule of dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an obstetrician and gynecologist who provides comprehensive women’s healthcare services, ranging from preconception care to the management of various gynecological conditions.
He completed his medical degree at Sam Ratulangi University and continued his specialization in obstetrics and gynecology at San Juan de Dios Educational Foundation. To meet Indonesian medical practice standards, he also completed an obstetrics and gynecology adaptation program at Udayana University.
In his clinical practice, dr. Edward specializes in preconception care, prenatal diagnosis, and fetal imaging. He is also experienced in contraceptive counseling, managing pregnancy complications, and treating various benign gynecological conditions. In addition, he is skilled in performing minimally invasive procedures tailored to each patient’s medical needs.
Practice schedule at Mandaya Royal Puri Hospital:
- 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
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The information provided on this page is intended for educational and general informational purposes only and may not represent all medical services offered by each doctor. For appropriate diagnosis and treatment, it is recommended to consult directly with the relevant healthcare provider.
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