Disadvantages of uterine fibroid ablation

The disadvantages of uterine fibroid ablation mainly include incomplete treatment, high recurrence rate, possible endometrial damage, unsuitability for patients with fertility needs, and risk of postoperative complications. Uterine fibroid ablation is a minimally invasive treatment method that uses thermal energy to destroy fibroid tissue, but its effect on larger or multiple fibroids is limited.

Uterine fibroid ablation uses focused ultrasound or radio frequency to generate high temperatures, causing coagulation necrosis of fibroid cells. Thermal damage to adjacent organs such as the bladder or bowel may occur during treatment, resulting in postoperative abdominal pain or abnormal urination. Some patients experience increased vaginal discharge or mild bleeding after treatment, usually lasting a few days to two weeks. The endometrium may be locally damaged due to the diffusion of heat energy, affecting subsequent menstrual cycles. Strenuous exercise should be avoided in the short term after surgery to prevent wound bleeding.

After uterine fibroid ablation, the fibroid tissue is not completely removed, and the remaining tissue may regenerate. Clinical observations have found that some patients relapse 3 to 5 years after surgery. This operation cannot obtain pathological specimens for diagnosis, and there is a risk of missing malignant tumors. After ablation of fibroids with a diameter of more than 5 cm, incomplete absorption of necrotic tissue may occur, resulting in persistent low-grade fever or pelvic infection. If the uterus is severely retroverted or the fibroid is in a special location, the difficulty of surgery will increase, and the treatment effect may not be ideal. In patients with adenomyosis, dysmenorrhea symptoms often do not improve significantly after ablation.

It is recommended to conduct an ultrasound review 3 months after surgery to evaluate the treatment effect. If abnormal vaginal bleeding or fever occurs during this period, you should seek medical attention promptly. Pay attention to keeping the perineum clean at ordinary times, and increase the intake of high-quality protein and vitamins in the diet to help tissue repair. Regular work and rest and moderate exercise can help improve immunity, but heavy physical labor and strenuous exercise should be avoided. Women who have not completed their childbearing plans should fully consult their doctors before choosing this surgery, and consider other uterine-preserving treatment options if necessary. Long-term follow-up data shows that combined with traditional Chinese medicine conditioning can reduce the probability of recurrence, and the specific medication needs to be treated with traditional Chinese medicine based on syndrome differentiation.