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Doctor insights on: Her Option Ablation

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Is it wise to have another ablation or should I have a hysterectomy? What other options do I have?

Is it wise to have another ablation or should I have a hysterectomy? What other options do I have?

What about UFE?: Ablation burns the lining of the uterus and often doesn't work if the symptoms are due to fibroids (i.e. Doesn't treat the problem just the symptom). Uterine fibroid embolization allows women to get the symptom relief (exs. Heavy bleeding, pelvic pain, etc) completely without surgery and you get to keep your uterus. Even in women who don't want children, your uterus is still important to you ! ...Read more

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Dr. Gary Sandler
2 doctors shared insights

Ablation (Definition)

Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a ...Read more


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I have just been diagnosed with post ablation syndrome, I understand what it is but want to make sure hysterectomy is the best option. ?

I have just been diagnosed with post ablation syndrome,  I understand what it is but want to make sure hysterectomy is the best option. ?

Bleeding: Hysterectomy is usually to control bleeding : some women (6%-25%) have reported heavy bleeding that was unchanged at one year following the procedure. These women may require further surgery (re-ablation or hysterectomy) to control the bleeding. About half of the women who had endometrial ablation will not have periods at all following the procedure. Get a 2nd opinion if you have questions ...Read more

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Is ablation like novasure an option for women with endometriosis?

Is ablation like novasure an option for women with endometriosis?

Yes and No: The Novasure ablation procedure is specifically to decrease or stop heavy menstrual bleeding. Women who also have endometriosis can still have the procedure; however, it won't help with their endometriosis. The reason for this is that endometriosis is outside the uterus. The Novasure procedure works by cauterizing the inside of the uterus. Best wishes! ...Read more

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Is ablation the only option available for afib? How effective or successful is it?

Is ablation the only option available for afib? How effective or successful is it?

No, Somewhat: No - there are medical therapies and surgical therapies as well. First ablation procedures w/ current technique are generally 50% effective at eliminating either the rhythm or all symptoms of the rhythm. With a touchup procedure, that generally goes up to ~70%. Many electrophysiologists like to claim higher rates, but these numbers reflect the best published data from some very good centers. ...Read more

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I am scheduled for an ablation for a- flutter. They say i need a Foley catheter. Can i refuse or is there an other option ?

I am scheduled for an ablation for a- flutter. They say i need a Foley catheter. Can i refuse or is there an other option ?

You can refuse: But what's the point. It's not a really big deal, and provides a level of protection for you despite it's seeming indignity. That's not really the big issue here anyway, and after you are home and back in normal sinus rhythm you probably won't care that you had a catheter. They are putting one in your heart anyhow! and that is the big issue. ...Read more

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Cardiologist said ablation was not necessary got 2nd opinion from EP, thinks it is a viable option for Pvcs. Confused about what to do.

Cardiologist said ablation was not necessary got 2nd opinion from EP, thinks it is a viable option for Pvcs. Confused about what to do.

Depends: Sometimes there are more than one way to cure a problem. Surgery is one way. Medication is another. Diet and sometimes exercise is another.
There is no guarantee. Medicine is a science in which the patient must find a doctor who they trust and then comply with the prescribed treatment. Your doing good. Ask more doctors and patients until you come to an understanding of what will be best for you. ...Read more

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What is the surgical options for herniated disc . Is it includimg radiofrequency ablation?

What is the surgical options for herniated disc . Is it includimg radiofrequency ablation?

No : Radiofrequency does not help with the herniated disc. Surgical options are plenty, i would suggest seeing a surgeon to discuss your options. ...Read more

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Interventional radiologists/oncologists: The FDA has approved Nanoknife IRE for use in surgical ablation of soft tissue tumors. An option. Beneficial?

Interventional radiologists/oncologists: The FDA has approved Nanoknife IRE for use in surgical ablation of soft tissue tumors. An option. Beneficial?

Partial: AppliesHeat: Study the device at http://www.angiodynamics.com/products/rfa-in-service;. The device is basically a method of applying heat to kill tissue using RF energy via a catheter. The problem, as usual, is crude ill-defined targeting; the area affected will be diffuse, not selective/differential of healthy vs. diseased tissue. This only possible advantage is driving tissue damage through smaller incisions ...Read more

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I've had a heart ablation in 2007 for WPW. I still have episodes but my heart doesn't go as fast. What are my other options that I can talk with my Dr?

I've had a heart ablation in 2007 for WPW. I still have episodes but my heart doesn't go as fast. What are my other options that I can talk with my Dr?

WPW still palp: Can use certain medications to reduce the heart's ability to respond to these episodes. Could consider another EP study and attempt at ablation. Best to talk to your Cardiologist, express your questions/concerns. Best of luck. ...Read more

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Failed tykocin therapy for afib ablation not an option due ivc filter amiodarone only other drug option offered side effect? Any other options

Failed tykocin  therapy for afib ablation not an   option due ivc filter amiodarone only other drug option offered  side effect? Any other options

Depends: In order to safely prescribe medication for a fib it is important to know more about your heart, specifically whether there are any abnormalities. There are drugs other than amiodarone and tikosyn (dofetilide) but the do not have the same efficacy (success rate ). ...Read more

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I am overweight and previous c sections.I have fibroids and adenmyosis. I have been given the option of mirena (levonorgestrel) coil or ablation which one is the best?

I am overweight and previous c sections.I have fibroids and adenmyosis. I have been given the option of mirena (levonorgestrel) coil or ablation which one is the best?

Mirena (levonorgestrel): You have enough risk factors that the ablation isn't worth it. Try mirena, (levonorgestrel) if that doesn't work, hysterectomy of a type would be a better choice. The risk of failure after an ablation seems high to me. At age 34, you have an average of another 17 years until menopause. This is a long time for an ablation to be a good enough fix for the number of problems that you have. If Mirena (levonorgestrel) works, great. ...Read more

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I've been diagnosed with a 3.5 cm anterior subserosal fibroid. Sx's severe pain, heavy bleeding with cycles q 14 days. Uterine ablation good option?

I've been diagnosed with a 3.5 cm anterior subserosal fibroid.  Sx's severe pain, heavy bleeding with cycles q 14 days. Uterine ablation good option?

Probably not: A combined laparoscopic myomectomy/ fibroid electrocoagulation and diagnostic hysteroscopy / possible endometrial ablation might be better choices , if you have already explored some non-surgical options like GnRH analogs and unless you do not want to consider a more definitive operation like a laparoscopic hysterectomy. Consult a specialist in fibroid treatments and Minimally-Invasive-Gynecology ...Read more

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Will a uterine ablation help pain and heavy bleeding from fibroids..I have that option or a hysterectomy. 41 years old..No children. Severely anemic.

Will a uterine ablation help pain and heavy bleeding from fibroids..I have that option or a hysterectomy. 41 years old..No children. Severely anemic.

UFE: Have you consulted with an interventional radiologist regarding uterine fibroid embolization (ufe)? This procedure is usually a great option for women with symptomatic fibroids. It is minimally invasive (tiny incision in your groin) and treats fibroids in any portion of your uterus, not just ones that can be reached through the uterine cavity. ...Read more

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What is an ablation?

What is an ablation?

Uterus ablation: A uterus (lining) 'ablation' means removal/destruction of the cells that line the uterus thus stopping or lightening your (heavy) periods. A common procedure is called: novasure , which is a one-time, 5-minute procedure. Success rates are up to 90%. See more info on novasure.Com. ...Read more

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What is the definition or description of: ablation?

What is the definition or description of: ablation?

Tissue destruction: Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a tube in the groin. ...Read more