Clinical outcomes following percutaneous magnetic resonance image guided laser ablation of symptomatic uterine fibroids

Abstract

Background: Fibroids are common benign tumours of the uterus. Percutaneous magnetic resonance (MR) image guided laser ablation provides a minimally invasive, day-case alternative to surgery for the treatment of symptomatic fibroids. Methods: Women with symptomatic fibroids wishing to avoid surgery were treated with laser ablation. MR thermal mapping ensured that maximal safe energy was applied. Fibroid volume was measured at 3 and 12 months, menstrual blood loss was recorded before and after treatment and a menorrhagia outcomes questionnaire (MOQ) was used to assess satisfaction. Results: A total of 66 patients was treated. There was a significant (P < 0.001) reduction in mean fibroid volume..