A slim probe is passed through the cervix into the uterine cavity — no abdominal incision is needed. Using real-time ultrasound to guide precise placement, a needle electrode is inserted directly into each fibroid, and radiofrequency energy is delivered through it, heating and destroying the fibroid tissue from within while leaving the surrounding healthy uterine muscle largely undisturbed.
Over the following weeks and months, the treated fibroid tissue shrinks and is gradually reabsorbed by the body, typically reducing the bulk and pressure symptoms it was causing. Because treatment is targeted fibroid by fibroid under direct ultrasound guidance, your consultant can treat multiple fibroids in a single session where appropriate, without the larger incision, blood loss and recovery time associated with open or laparoscopic myomectomy. The procedure typically takes 30 to 60 minutes as a day case, under local or general anaesthetic. Suitability depends on the number, size and position of your fibroids, which we assess individually before recommending this approach.