So, you have heard of a procedure called Acessa advertised as minimally invasive in the treatment of uterine fibroids. You are wondering if Acessa could be an option for you and how it compares to technology driven procedures like the UFE as well as to traditional surgeries like myomectomy and hysterectomy.
Here, you will find the answer to your questions.
Acessa is nothing more than a combination of laparoscopy and ultrasound to deliver heat to the fibroids which is supposed to make them shrink. In other words, during the surgery, the gynecologist is introducing/holding the laparoscopy probes as well as an internal ultrasound probe, searching for fibroids, implanting a needle with prongs in the fibroids and running heat through those prongs in each fibroid until they are deemed non-viable. To give a comparison, Acessa is more like a myomectomy with a twist but still many stitches!
So, consider the following:
Acessa is performed in a hospital or surgical center setting, requires general anesthesia, and lasts about 2 hours.
Acessa CANNOT treat all fibroids, especially those outside the wall or inside the cavity.
Acessa CANNOT treat adenomyosis+++.
Acessa requires good knowledge of ultrasound physics and technique.
Acessa uses heat for treatment and the risk of burns to the tubes, ovaries, urinary conduits, and bowel is real.
Acessa, like myomectomy, is not a definitive treatment, it is impossible to treat every single fibroid. Smaller fibroids cannot be treated and will take over.
Complications? Here you go, from outside to inside: Skin burns, wound dehiscence, infection, blood loss with subsequent emergency hysterectomy, burn of adjacent organs like bowel, ovarian tubes and urine conduits, deep blood clots and lung collapse and issues of general anesthesia/laparoscopy.
Finally, Acessa is only covered by a few insurances, and you will need pre-authorization. Why is that? Because Acessa comes with limited research, still involves hospital care, and has better alternatives like the UFE.
Now contrast that with the Uterine artery embolization, a truly minimally invasive procedure that requires no hospital stay, has a downtime of 5-7 days, is cost effective, has no major complications and best of all is a definitive treatment!
Just make an appointment to consult your options with Dr. Gaugau
I highly recommend Dr.GauGau for fibrioid procedures. First Dr. GauGau was informative about the procedure from beginning to the end. The office staff was extremely friendly and also answered any questions I had. The day of the procedure the nurse practitioner was AMAZING. She made me feel confortable and prepared. This is the best decision I’ve made, it’s been a week since the surgery and I feel normal. I’ve already recommended this to my friends who is having the same issues as me
Ladies! Ladies! Ladies!Call Dr. Gaugau's ofc ASAP so you can be more informed. Hysterectomy doesnt nessecarily have to be the end all be all.From the time I walked in the door I was met with smiles and professionalism. Kesha and Dawn were a delight. Not knowing what to expect, this made me feel at ease. My initial visit I found Dr. GauGau's bedside manner to be refreshing. He wasnt rushing, provided eye contact, spoke in terms that I could understand, and he made feel like asking questions was not a "bad thing". I had tons of them lol, so his patience and humor was appreciated. He was very thorough with the reviewing of my MRI and option choices based on what was found. That too made me feel comfortable with whatever decision was to come. I chose uterine fibroid embolization (UFE).The day of surgery, nurse Bonnie also provided great care ensuring ultimately that i was comfortable. Im still recoverying, but UFE was a choice i do not regret!!
Ms. Keisha and Dr.GauGau were like a dream. They were professional, personable, and warm. It was very easy talking to them about difficult topics such as infertility. Look no further he is your Doctor!
Dr.GauGau is kind, cares and he calls personally if there is a concern, he provides detailed explanation of your situation, provide all options and gives suggested recommendations on what is best, allows you to ask questions, and can contact him if you have any concerns and the staff is so nice. Working to schedule my procedure.
This center is great. The staff and customer service is exceptional. I would recommend this place any day. My experience was wonderful, I went to doctor Gaugau scared and in tears and he made sure I was ok through my whole procedure and I get to have more babies ! Thank you for the excellent work
Very professional staff. Dr. G and nurse Bonnie answered all my concern questions and made me comfortable during the day of surgery. Now I’m feeling better day by day and looking forward to a great future.. I would definitely recommend The Fibroid Center.
If I could have a doctor like Dr.G at every appointment in life, I’d always be in good hands. Scheduling was easy & quick. Care during my procedure & Follow-up post procedure was amazing! I’m only a few weeks post ufe, and it feels good to finally get some sense of normalcy back after suffering for years. If you’re suffering from fibroids you’ll be in good hands with Dr.G. The reviews don’t lie
My experience with Dr. Gaugau and his staff was wonderful! I would recommend him to anyone considering embolization. I experienced cramping after which is normal. Dr. Gaugau and Bonnie was excellent in explaining what I may experience so I knew what to look out for. I'm still recovering and quite quickly I must say. My appetite is not fully back but I do feel better each day!
Dr. GauGau is amazing. He has a wonderful bedside manner. He is knowledgable, patient, and he hears you. He really hears you. He's warm and personable, and I couldn't ask for a better doctor. I had an embolization in 2022, only learning that I had fibroids two months prior. Making appointments was easy. His staff is just as personable. Everyone there just wants to help Six months after my procedure, my fibroids were gone and my cycle was back to normal. I'd easily give him 15 out of 5 stars!!
Dr. Gaugau is recognized as TOP Interventional Surgeon throughout the Maryland region and appears as a Medical Expert on the TOP Doctors Interviews, which are seen on popular radio stations