Myolysis is a method that allows the cells forming the myoma to be converted into collagen structure with thermal energy, which is absorbed by the body and consequently shrinks. With the shrinkage, over time, the myomas reach a size that does not show any discomfort or symptoms. Myolysis is performed with a system with a transvaginal electrode called cold radiofrequency (RF). Cold salt water is circulated inside the myoma from the tip of the needle. Meanwhile, the process is also monitored instantly from the ultrasound device. The temperature of the needle tip can be continuously monitored. This method is considered the most minimally invasive method. In this way, both the operation period and the recovery period after the operation of the patients are shortened. The patient returns to work more quickly. It is protected from the risks associated with the operation and anesthesia.
The width of the needle tip used for myolysis can be changed between 0.5 and 4 cm. This provides the surgeon with a more precise study opportunity and to treat myomas of different sizes. The estimated average ablation time for a myoma is 12 minutes. However, this period may be shortened according to the size of the myoma. The status of the disease is extremely important in the decision-making process for myolysis. When deciding on the type of treatment, the size of the myoma and the region where it occurs are taken into consideration. Myolysis method is considered as the first choice in myomas smaller than 8 cm.
After the procedure, the condition of the disease is controlled by the physician. In the third month after the procedure, shrinkage begins in general. A shrinkage of 80% to 90% is observed within a year.
It can be viewed as an image of the treated area during transcervical radiofrequency ablation. In the cold radiofrequency ablation method, the temperature of the needle area is constantly controlled and this temperature is regulated between 12 and 20 degrees. This ensures that the effect of the process is at the highest level.
Another important feature that makes the TCRFAS technique different is that the procedure does not damage the uterus accumulated. This feature is extremely important for those who want to be mothers. Most other methods either reduce or eliminate the possibility of conception. Such a possibility cannot be found in the cold RF myolysis method.