The significance of transcervical ultrasound-guided radiofrequency ablation in the treatment of symptomatic fibroids: results of an expert consensus from German-speaking countries

Delayed expulsion of a large fibroid after transcervical radiofrequency ablation: A case report

“…There are several minimally invasive and non-invasive methods to treat fibroids. Transcervical radiofrequency ablation with Sonata System enables a minimally invasive treatment without any incision, in a short time [13] . This method can be combined with operative hysteroscopy and is appropriated even for large fibroids [14 , 15] .…”

“…Transcervical fibroid ablation is to be performed by a gynecologist. The device is to be inserted intrauterine and has a small ultrasound component [13] . Usually, a general anesthesia is required for the TFA.…”

“…This method does not cause a postablation syndrome. A good knowledge of vaginal ultrasonography and confidence in all other endoscopic fibroid therapies is required, because they can be used in combination with TRF as needed [13 , 14] .…”

Transcervical intrauterine radiofrequency ablation of fibroids in high-risk patients with bleeding disorder

“…TFA is performed by a gynaecologist. The instrument has a small ultrasound probe which is to insert intrauterine [17]. Before the ablation the fibroid is determined sonographically.…”

“…A good knowledge of vaginal ultrasonography and confidence in all other endoscopic fibroid therapy are required, because they can be used at the same time in combination with TRF as needed. Hospital stay time is 1-2 days [17,18].…”