Transvaginal radiofrequency ablation for symptomatic uterine fibroids

Status:

Awaiting development

Technology type:

Procedure

Decision:

Selected

Prioritisation programme:

HealthTech

Rationale:

Within remit for Interventional guidance to be produced

Process:

IP

ID number:

2076

Description:

Uterine fibroids are non-cancerous growths that develop in or around the womb (uterus). They can cause symptoms including heavy menstrual bleeding, bleeding between periods, pelvic pressure or pain, and urinary incontinence. They can be associated with fertility problems and miscarriage. Around 66% of women develop at least 1 uterine fibroid during their lifetime and 33% of women will develop symptoms from uterine fibroids. Uterine fibroids don’t always cause symptoms, and treatment may not be needed. Where treatment is needed there are different options depending on the number and size of the fibroids, where they are located within the uterus, what symptoms they are causing and whether preserving fertility is a consideration. Treatment options include hormonal and non-hormonal drug treatments to control symptoms, non-surgical procedures to destroy the fibroids or block their blood supply, or surgical procedures to remove the fibroids or to remove the entire uterus. In this procedure, which is usually done under sedation or general anaesthesia, a device is inserted through the vagina. Ultrasound imaging through the abdomen or vagina is used to guide the device to the fibroid. The device delivers heat (radiofrequency) energy to destroy the fibroid tissue (ablation). The aim is to shrink the fibroid and reduce symptoms. The procedure does not involve any cuts or stitches and the uterus is preserved.

Provisional Schedule

Draft scope consultation:

03 June 2026 - 16 June 2026

Final scope:

06 July 2026

Project Team

Project lead

Corrina Purdue

Email enquiries

If you have any queries please email HealthTech3@nice.org.uk

Timeline

Key events during the development of the guidance:

For further information on our processes and methods, please see our CHTE processes and methods manual