11.5.07

SUCCESSFUL TREATMENT OF UTERINE FIBROIDS

FC 3.07.02
SUCCESSFUL TREATMENT OF UTERINE FIBROIDS WITH
INTERSTITIAL LASER PHOTOCOAGULATION
Rowan J Connell, National Medical Laser Centre & Department of
Obstetrics and Gynaecology, University College London, UK
Alasdair Gordon, Department of Obstetrics and Gynaecology,
University College London, UK. Alfred Cutner, Department of
Obstetrics and Gynaecology, University College London, UK
Stephen G Bown, National Medical Laser Centre, Department of
Surgery, University College London, UK
Objective: Interstitial laser photocoagulation (ILP) is a technique for
destroying lesions in solid organs, using low power laser energy to
gently coagulate the target tissue with no surface effects, and therefore
no collateral damage. Our aim was to assess ILP as a minimal access
technique of treating symptomatic uterine fibroids.
Study Methods: This study was carried out at a London teaching
Hospital. Twelve women with symptomatic uterine fibroids (3-12 cm
diameter) were recruited. Under laparoscopic control, 1-4 pre-charred,
bare tipped 400mm laser fibres from a semiconductor laser (805nm) were
inserted into fibroids through Tuohey needles and activated
simultaneously, each delivering 3.5W for 300 seconds. Fibroid volume
was measured preoperatively and during follow up with MRI. This
treatment is in contrast to laser myolysis (which uses powers up to
50W).
Results: We have MRI follow-up of 17 treated fibroids, with diameters
ranging from 4.5 cm to 11.5 cm (volumes 41 mls to 668 mls), in 12
women with a mean age of 41 years (range 33-48 years). There were no
complications and recovery was comparable to that after laparoscopy.
Fibroid volume as a percentage of the untreated volume was a mean of
175% (81-276%) 1 week after ILP; 93% (range 40-144%) at 4 weeks;
41% (range 15-58%) at 20 weeks; 23% (range 18-32%) at 32 weeks; and
28% (range 20-36%) at 52 weeks, and 18% at 80 months. ILP is safe, it
successfully shrinks fibroids and the shrinkage appears to be sustained.
Conclusion: ILP is a successful minimal access technique, which can be
used to safely treat uterine fibroids.



IF ANYONE HAS ANY INFORMATION ABOUT THESE TREATMENTS PLEASE E-MAIL ME.I WANT THAT EVERYWOMAN GETS THAT INFORMATION SO THAT SHE CAN DECIDE IF SHE WANTS HYSTERECTOMY OR LITT OR ILP.