RFA for Fibroids Linked to Higher Treatment Failure Than Myomectomy

A prospective multicenter study (ULTRA trial) compared laparoscopic radiofrequency ablation (RFA) and laparoscopic myomectomy for symptomatic uterine leiomyomata, tracking subsequent procedures and composite failure within 2 years. The study reported surgical failure in 15.2% of RFA patients versus 3.8% of myomectomy patients (adjusted OR 4.17), and composite failure in 46.4% versus 25.5% (adjusted OR 3.18), with submucosal and lateral leiomyomata associated with higher odds of RFA failure.

Most relevant for: Patients with symptomatic uterine leiomyomata being considered for laparoscopic radiofrequency ablation or myomectomy.

Summary written by an AI model from the source text and dated by the source's publication date. Check the original before acting on it. How MedFollow selects and summarizes updates.

Informational only. Not medical advice. Not a substitute for clinical judgment. Always consult current guidelines and your own clinical judgment.