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The Acessa™ Procedure for Symptomatic Uterine Fibroids

The Acessa procedure is a new minimally-invasive, same-day (outpatient) therapy for fibroids of all types and sizes, in all locations within the uterine wall. It uses a technology called radiofrequency ablation. Each fibroid is destroyed by applying energy through a small needle array. The surrounding normal tissue is not affected. The destroyed tissue may then be completely reabsorbed.


Uterus Mapped for Fibroids

The laparoscopic ultrasound probe is used to determine the location and size of all fibroids present. Intra-abdominal ultrasound allows excellent visualiza­tion of fibroids as small as 2 mm in diameter.
Procedure1-Uterus Mapped


Handpiece Introduced into Fibroid

The Handpiece tip is advanced into the fibroid with ultrasound guidance.
Handpiece Introduced in to Fibroid


Deployment of Handpiece Electrodes

The electrode array is deployed. Laparoscopic and ultrasound evaluation confirm that the electrodes remain within the fibroid.
Deployment of Handpiece Electrodes


Ablation and Withdrawal

The appropriate duration of ablation is determined, the treatment is applied, and any bleeding is controlled as the Handpiece is withdrawn.
Ablation and Withdrawal]


Contacting Your Health Care Provider

There are many treatment options available to women with fibroids. You will need to call your health care provider if gradual changes in your menstrual pattern occur (heavier flow, increased cramping, bleeding between periods), or if fullness or heaviness develops in your lower abdomen. There may be associated pressure or discomfort and occasionally interference with normal urinary function. Your health care provider can discuss the risks and benefits of the various treatment options available to you.


References

Speroff, M Fitz. Clinical Gynecologic Endocrinology and Infertility. 7th ed. Lippincott Williams & Wilkins; 2004.
Casini ML, Rossi F, Agostini R, Unfer V. Effects of the position of fibroids on fertility. Gynecol Endocrinol. 2006 Feb;22(2):106-9.


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