Portal de investigación
Real-life experience with transvaginal radiofrequency ablation in infertile patients with types 2 and 3 fibroids
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Cerrillo, M
- Martinez-Salazar, J
- Fernandez, C
- Royo, P
- Vazquez, A
- Munoz, E
- Gomez, VH
- Puente, J
Grupos
Abstract
Research question: Transvaginal radiofrequency ablation (TRFA) may offer a safe and effective alternative to surgery for infertile women with type 2 or 3 fibroids under 4 cm diameter that compromise the uterine cavity. Methods: In this study, 36 patients underwent ultrasound-guided TRFA between 2020 and 2023. Main outcomes were fibroid volume reduction at 1, 3, and 6 months, and post-procedure reproductive results. Results: Mean baseline fibroid volume was 19.29 cm(3), decreasing to 9.6 cm(3) at 1 month, 4.39 cm(3) at 3 months, and 4.07 cm(3) at 6 months, reflecting >75% reduction. Mild pain and minimal bleeding occurred in 22% of patients; hysteroscopic removal of protruding fibroids was required in 22%. Among the 25 women undergoing subsequent ART, pregnancy and miscarriage rates per treated patient were 68% and 16%, respectively; live births occurred in 52%, with most deliveries at full-term. Caesarean delivery rate was 69.2%. Conclusions: TRFA appears to be a safe and effective alternative to surgery for infertile women with type 2 or 3 fibroids under 4 cm in diameter that compromise the uterine cavity. The procedure does not seem to affect reproductive outcomes, and this study is the first to assess the effect of TRFA on ART.
Copyright © 2025 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
Datos de la publicación
- ISSN/ISSNe:
- 1472-6483, 1472-6491
- Tipo:
- Article
- Páginas:
- 105104-105104
- PubMed:
- 41352224
- Enlace a otro recurso:
- www.scopus.com
- Factor de Impacto:
- 1,171 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
REPRODUCTIVE BIOMEDICINE ONLINE ELSEVIER SCI LTD
Citas Recibidas en Web of Science: 3
Documentos
- No hay documentos
Filiaciones
Keywords
- Ablation; Fibroids; Infertile; Radiofrequency; Transvaginal radiofrequency ablation; Ultrasound
Cita
Cerrillo M,Martinez J,Fernandez C,Royo P,Vazquez A,Munoz E,Gomez VH,Puente J,REQUENA A,GARCÍA JA. Real-life experience with transvaginal radiofrequency ablation in infertile patients with types 2 and 3 fibroids. Reprod. Biomed. Online. 2026. 52. (1):p. 105104-105104. IF:3,900. (1).