Efficacy and safety of ultrasound‐guided high intensity focused ultrasound ablation of symptomatic uterine fibroids in Black women: a preliminary study

Abstract

Objective To evaluate the therapeutic effect and safety of ultrasound-guided high-intensity focused ultrasound (USgHIFU) treatment on symptomatic uterine fibroids in Black women.Design A feasibility study.Setting Gynaecological department in a teaching hospital in South Africa.Population Premenopausal women with uterus fibroids.Methods Twenty-six patients with 53 fibroids who underwent USgHIFU treatment were enrolled. The USgHIFU treatment information was recorded, including treatment time, sonication time and total energy. Adverse events were also observed and recorded during and after treatment. Conclusions USgHIFU is feasible and safe to use to treat symptomatic uterine fibroids in Black women.Keywords Black women, high-intensity focused ultrasound, uterine fibroid.Tweetable abstract Multiple uterine fibroids are more frequently detected in Black women. USgHIFU is feasible and safe for the treatment of uterine fibroids in Black women.Please cite this paper as: Zhang C, Jacobson H, Ngobese ZE, Setzen R. Efficacy and safety of ultrasound-guided high intensity focused ultrasound ablation of symptomatic uterine fibroids in Black women: a preliminary study. BJOG 2017; 124 (S3): 12-17.

A comparative analysis of pregnancy outcomes of patients with uterine fibroids after high intensity focused ultrasound ablation and laparoscopic myomectomy: a retrospective study

“…Lower preterm birth rate and postpartum hemorrhage rate also suggest the efficacy and safety in pregnancy and delivery after both treatments. The advantages of HIFU treatment for uterine fibroids included fewer complications, shorter hospital stays, lower postoperative pain, and faster recovery in comparison with surgical treatment, thus greatly improving the quality of life of patients [16]. Our results revealed that the pregnancy interval after HIFU was significantly shorter than that after LM (10 months VS. 13 months).…”

Outcomes of subsequent pregnancies in patients following treatment of cesarean scar pregnancy with high intensity focused ultrasound followed by ultrasound-guided dilation and curettage

“…High intensity focused ultrasound (HIFU) is a non-invasive therapeutic technique. This technique has been widely applied in treating benign uterine diseases, such as uterine fibroids, adenomyosis, and placenta accreta [7,8]. HIFU has also been used to treat CSP.…”

Factors affecting effects of ultrasound guided high intensity focused ultrasound for single uterine fibroids: a retrospective analysis

“…Although there are many therapeutic strategies for UFs, such as hysterectomy [1,2], myomectomy [2], uterine artery embolization (UAE) [3], and pharmacological therapy [1], the demand for non-invasive treatment techniques is increasing with implementation of the two-children policy, improvement of living standards, and optimization of treatment measures in China. High-intensity focused ultrasound (HIFU), as a new technology for local physiotherapy, has been widely used in non-invasive ablation of UFs and has proved to be extremely safe and effective [4][5][6]. However, according to previous clinical experience and research reports, HIFU ablation of UFs is affected by factors such as internal structure (blood supply, water content and fiber composition), location, type and size of UFs [7,8].…”