What is HIFU?

  • 26 Feb 2020

High Intensity Focused Ultrasound (HIFU) is a new technology for the treatment of Uterine Fibroids, Adenomyoma and Adenomyosis. It is a non-invasive surgery that uses focused ultrasound to generate highly localised heat to treat tumours either benign or malignant.

What to Expect Before Treatment

  • No sex for 3 days prior to treatment
  • Ensure that IUD, if any, is removed before treatment
  • Full shaving from umbilical to the perineum region
  • Bowel preparation: Enema
  • Diet preparation
    • Light diet low in vegetables and beans 3 days before treatment
    • Liquid diet 1 day before treatment

After Treatment

  • Lie prone for at least 2 hours after treatment 
  • Liquid food 2 hours after treatment is allowed and normal diet can be resumed 24 hours after treatment if there is no abdominal pain, abdominal distension, localised tenderness, fever or loss of appetite 
  • Keep genitals clean after treatment
  • No sex after treatment; it can be resumed after one menstrual cycle 
  • Temporary contraception is advised for a few months
  •  Placement of IUD should be after 3 normal menstrual cycles, avoid intrauterine operation during this period
  • Post-operative follow up with ultrasound or MRI scan is advised

Possible Post-operative Reaction

  • Distending pain in treatment area, lower abdomen, sacrum area and legs; Temporary weakness in the legs
  • Redness of skin in treatment area
  • The first (and even the second) menstruation after treatment, may increase or lengthen. It usually takes 3 months for symptoms to improve significantly
  • Patients with submucosal fibroids may have secretions lasting about one week after treatment. Keep the genitals clean

When do I need to contact my doctor?

You are advised to contact your doctor if you experience one or more of the following symptoms:

  • Swelling and excessive discharge
  • Weakness and numbness of the legs for prolonged period of time
  • Pain not relieved by painkillers