Myolysis revisited.
Numerous procedures have been developed in recent decades that claim to provide significant improvement in myoma status without hysterectomy. However, what is the cost in time and money of these procedures? This is a review of the current literature regarding these recent procedures to determine which, if any, is the best treatment for myomas. We conducted a search of PubMed using the terms "bipolar-, cryo-, radiofrequency, laparoscopic-, focused high-energy MRI-guided ultrasound, and MRI-guided laser myolysis" to identify reports of the various procedures. Based on these published reports, we describe the various types of myolysis performed in multiple patients in outpatient facilities including patient outcomes, complications, cost, and efficiency of the procedures.
Goldfarb
Herbert A
HA
Department of Obstetrics and Gynecology, New York Downtown Hospital, New York, New York, USA. hgoldfarb@nohysterectomy.com
D017115:Catheter Ablation; D003452:Cryosurgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D053685:Laser Therapy; D009214:Myoma / Q000098:blood supply / Q000601:surgery*; D055357:Uterine Artery Embolization; D014594:Uterine Neoplasms / Q000098:blood supply / Q000601:surgery*