Frequently asked

What should I know before an MR guided Focused Ultrasound procedure?

You should let your doctor know if you are allergic to certain medications or contrast agents, and if you have metallic implants or medical patches. Your doctor need to know if you should avoid any type of materials used during the procedure. You and your doctor will also decide what type of sedation works best for you. Most doctors use conscious sedation, which means you are awake during the procedure, but you may feel groggy.

Before you undergo MRgFUS treatment you should discuss:

  • Your personal health history, including any allergies you may have
  • Your family’s health history, including family cancer history
  • Any recent illnesses
  • Medicines, include both prescription, over-the-counter and herbal medicines or dietary supplements
  • Any implants and/or medical patches
  • Recent activities, including air travel
  • Your level of normal physical activity
  • Previous MR or CT imaging studies

How do I know if I am eligible for treatment?

Your doctor is the best person to ask about this. He or she will be able to tell you if you are a suitable candidate for the MRgFUS treatment. In general, people who cannot go into an MRI will not be able to go through the treatment - this includes patients with metallic implants, patients who are claustrophobic, and patients who are allergic to contrast agents - a dye used to see blood vessels during MR imaging.

What risks and complications are associated with MRgFUS?

Overall, when used appropriately, MRgFUS is a safe procedure for treating symptomatic fibroids with minimal risk. Infrequent complications that have been reported following MRgFUS are listed below. You should talk to your doctor about the likelihood that you may experience any of these risks.

  • Dizziness
  • Back or leg pain that persists for a few days
  • Mild skin burns (rarely)
  • Allergic reaction to contrast media or medications
  • Abdominal pain/cramping, nausea and/or fever
  • Urinary tract infection
  • The treatment may be successful in reducing the symptoms from the fibroids that are treated, but at a later time, more fibroids may become symptomatic, requiring additional treatments. This is true for all fibroid treatments, except hysterectomy
  • There is a chance that the treatment may not be successful and you may require an alternative treatment therapy to improve your symptoms

Any questions concerning risks and complications of the procedure, should be discussed with your doctor.

After the procedure, what will happen to me?

The MRgFUS procedure takes between 3-4 hours. Following the treatment you will rest for an additional 1-2 hours until the sedation wears off. After that, you will get instructions from your doctor.

What should I watch out for post procedure?

Occasionally women may experience some cramping, similar to menstrual period cramping or shoulder/back pain from lying on the treatment bed. Prior to your release from the facility, you should be aware of who to contact in an emergency. You should reach out to this contact if you experience foul-smelling vaginal discharge that increases over time and lasts more than 24 hours, fever, or pelvic pain.

Who will provide my post procedure care following the treatment?

It is important that you discuss with your doctor ahead of time who will handle your follow-up care.

How soon after the treatment will my symptoms be gone?

Most patients find relief in their fibroid related symptoms within the first 3 months. You may have more fibroid growth over time leading to symptoms that require additional treatment in the future. This is true for all fibroid treatments, except hysterectomy.

Herz-Jesu-Krankenhaus Dernbach

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