Women’s Pain with Uterine Fibroids–Non-invasive Hifu Treatment
2022-03-16 Health and Medical Network News/ Reported by reporter Lin Yiting
About 60% of women in Taiwan have uterine fibroids, some of which are so large that they can compress nerves and affect urination. Even small fibroids can make girls feel stressed. There are many reasons for uterine fibroids. Studies have found that the uterine muscle layer has more hormone receptors to allow it to grow, but it is also related to personal physique and westernized diet.
Uterine fibroids are probably the most distressing problem for women after menstrual pain. The traditional treatment is to use laparoscopic minimally invasive surgery to remove uterine fibroids. The use of HIFU Treatment has been developed to achieve the goal of fibroid ablation and volume reduction. Domestic hospitals have also introduced this technology 6 or 7 years ago. Taking Linkou Chang Gung Memorial Hospital as an example, HIFU Treatment has been introduced non-invasively since the end of 2014. , and established the HIFU Treatment Treatment Center, which has more than 700 cases of treatment experience.
Dr. Chen, the attending physician of Linkou Chang Gung Obstetrics and Gynecology Department, pointed out that HIFU Treatment does not have a knife like traditional treatment. The more correct term is HIFU Treatment, which uses ultrasound to focus high energy on fibroids, and the safe treatment range of energy It will expand outward by 1 to 1.5 cm, and the area is not large and will not hurt other tissues. The treatment does not require general anesthesia like laparoscopic minimally invasive surgery, but hypnotic anesthesia, which is a part of precise treatment.
A woman who was in menopause saved her uterus because of HIFU Treatment. This 50-year-old woman originally had uterine fibroids. She wanted to say that the fibroids might stop growing after menopause, and she has not been actively treated. However, the fibroids did not shrink but continued to grow, oppressing the urinary system and causing frequent urination. Later, she was sent to the emergency room for treatment because she couldn’t get urine out, and the other doctors suggested hysterectomy, but she was unwilling to transfer to Linkou Chang Gung Hospital for consultation with Dr. Chen to help her solve the problem of uterine fibroids and successfully preserve the uterus.
Dr. Chen said that the woman’s fibroids were about 12 centimeters. She didn’t want to have her uterus removed, and she didn’t want to use laparoscopic minimally invasive surgery. In the end, she was treated with HIFU Treatment. Half a year later, the tumor had shrunk to 7-8 centimeters, and the frequency of urination had improved significantly. quality of life. According to the statistics of Linkou Changgung Hospital, after 3 months of HIFU Treatment treatment, the volume of fibroids can be reduced by 50%, after half a year, it can be reduced by 60%, and in the third year it is about 80%. The chance of recurrence is very low.
HIFU Treatment needs to be confirmed by nuclear magnetic resonance before and after treatment. Before the operation, it is necessary to perform positioning simulation surgery to evaluate the treatment effect. In addition, if the body fat on the ulna exceeds 2.5 cm, higher energy needs to be used, in order to prevent skin burns, the HIFU treatment time must be extended.
In addition to being used for uterine fibroids, HIFU Treatment can also be used for adenomyosis (endometrial hyperplasia), the prevalence rate of which is about 15%. Due to the uneven endometrial hyperplasia, sometimes it will affect the implantation of fertilized eggs ; A 37-year-old woman was unable to conceive after trying various treatments due to endometrial hyperplasia with a thickness of 5 cm.
Later, Dr. Chen used HIFU Treatment to treat the patient’s adenomyosis. Since adenomyosis does not have an outer membrane like fibroids, he needs to be more careful in energy control to prevent energy from running into the uterine cavity, and the ablation of adenomyosis The effect can reach 80%-90%, and the female patient has successfully conceived and given birth after treatment, which is killing two birds with one stone for the patient.
International Medical Center, Linkou Chang Gung Memorial Hospital
(Source from information Chang Gung Hospital official website)
- Linkou Chang Gung Memorial Hospital (CGMH) is a JCI accredited, multi-specialty hospital situated amidst the flourishing district of Linkou, Taiwan. Founded in 1978, CGMH has been listed among one of Taiwan’s largest, most prestigious, medical and educational centers, containing nearly 4,000 beds and a total of 29 specialty centers. Up to date, the hospital has trained more than 1,700 practicing physicians from 75 different countries in the last decade. Furthermore, it is estimated that a third of the Taiwanese population have sought treatment at Chang Gung. Not only does the hospital account for almost 10,000 out-patients a day, but it also receives the highest number of international patients in Taiwan, treating over 10,000 patients a year.
- Today, CGMH has been recognized as a powerhouse and pioneer in remedial innovation, research and teaching. It is also the largest academic center ever accredited by the Joint Commission International [JCI (2014-2017)]. Having been featured in National Geographic Channel’s documentary, “Taiwan’s Medical Miracle,” our hospital’s medical achievements are both nationally and internationally acclaimed. At Chang Gung Memorial Hospital, we prioritize patient-centered care, offering domestic, as well as cross-border, patients with quality medical services, state-of-the-art technology, and superior values.
Chen, Wei-Chun, MD
As a highly trained gynecologist, Dr. Chen specializes in minimally invasive surgery and Non Invasive Surgery HIFU techniques. You can feel confident that your procedure is going to be as effective as possible and that you won’t have any extensive downtime.
Attending Physician, Division of Gyn-Oncology.Department of Obs/Gynecology.Chang Gung International Medical Center, Taiwan Linkou Chang Gung Memorial Hospital