For some patients with fibroids, the choice of treatment may be ExAblate or nothing, rather than between surgery, UAE or ExAblate. Many women want to retain the potential for future pregnancies. Women are seeking minimally invasive treatments motivated by a trend towards later child bearing and desire to minimize recovery time.
Uterine fibroids can impair fertility and cause specific pregnancy complications However, the process of treating fibroids can also lead to morbidity and subsequent fertility impairment. The “gold standard” for women desiring fertility remains surgical myomectomy due to long experience with that mode of treatment Rare but sometimes serious complications have been well described for surgical approaches .
MRgFUS stands for Magnetic Resonance-guided Focused Ultrasound. This non-invasive technique uses an MRI thermal imaging system to continuously measure temperature changes inside the body, pinpointing and guiding the treatment. This is a relatively new, FDA-approved, treatment for uterine fibroids.