Gynecology

Myolysis

What is myolysis?

A fibroid gets bigger, oppresses several internal organs, interrupts uterine contraction and relaxation, and as a consequence, various symptoms might appear. Representative symptoms of fibroid is abnormal uterus, bleeding, pelvic pain, period pain, dyspareunia, oliguria, infertility, post-abortion and so on. There is a rise of the possibility of premature obstetric labor during the pregnancy, and after birth, the possibility of postpartum haemorrhage because the difficulties of uterine contraction.
Medical Practice Evaluation Committee of Health Insurance Review & Assessment Service acknowledged the safety and effectiveness of radiofrequency myolysis and accepted it as a new medical technology in an announcement in November 22th, 2007.

Treatment of Fibroid

Hormone therapy, extirpation, embolization and radiofrequency treatment are suggested as materials about fibroid.
Extirpation is classified into laparotomy and endoscopic operation which is categorized into vaginal and laparoscopic operation.
Radiofrequency myolysis is a method most currently developed and well-received by lots of patients and doctors. It is a procedure that sticks a thin electrode into a uterus myoma and necroses myoma and its growth factors together by radiofrequency heat; it is highly effective for relieving pain and prevention of bleeding.
A great number of university and special hospitals adopted the method. Lots of thesis are being presented about its medical effect.
It is a medical procedure first recommended for young women who have a plan to give birth or want to protect uterus because the first priority of this procedure is preservation of uterus.

Strengths of Radiofrequency Myolysis

  • It can save uterus with least wound.
  • The procedure can be conducted under sleep anesthesia escaping from the danger of general anesthesia.
  • The patient can enter and leave hospital in one day since operating time is short and there is no aftermath.
  • It does not cause excessive bleeding, pain, scar or cut.
  • It disposes of growth factor of myoma and is able to prevent regrowth and recurrence.
  • In the case of uterine gland myoma, it can be handled by conservative treatment without extraction of uterus.
  • Even though the consequence of procedure is not satisfying, reoperation is simple.
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