Among gynecologists with no prior training, the initial cases of laparoscopic radiofrequency ablation of leiomyomas can be performed with rapid onset of surgical confidence and favorable clinical outcomes. ABSTRACT Study ObjectiveTo assess surgical outcomes, clinical effectiveness, and gynecologist's experience of introducing laparoscopic radiofrequency ablation (RFA) of leiomyomas into surgical practice. Design Uncontrolled clinical trialSetting 5 academic medical centers across California PatientsPremenopausal women with symptomatic uterine leiomyomas, uterus ≤16 week size and all leiomyomas ≤10 cm with no more than 6 total leiomyomas. InterventionsLaparoscopic RFA of leiomyomas. Measurements and Main ResultsWe assessed intraoperative complications, blood loss, operative time, and adverse events. Gynecologists reported the difficulty and need for further training after each case. Participants reported leiomyoma symptoms preoperatively and at 6 and 12 weeks after surgery. We analyzed all outcome data from the first case performed by gynecologists with no prior RFA experience. 157

Abnormal uterine bleeding is one of the most common reasons for outpatient gynecologic visits. Proper evaluation and diagnosis is essential and allows the clinician to present individualized treatment options to their patients.

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