# Uterine Leiomyoma Journey With Acessa ProVu System Using General Anesthesia Under Laparoscopic Ultrasound Guidance: A Case Report

## TL;DR

A 40-year-old woman with severe menstrual symptoms was treated with laparoscopic radiofrequency ablation for a large uterine fibroid.

## Contribution

This case report demonstrates the use of the Acessa system under laparoscopic ultrasound guidance for fibroid treatment.

## Key findings

- The patient had a 7 cm × 4.3 cm FIGO 4 fibroid causing persistent symptoms.
- Laparoscopic radiofrequency ablation was chosen for its efficacy and faster recovery.
- The case emphasizes the importance of comprehensive diagnosis and treatment planning.

## Abstract

This case report details the evaluation and management of a 40-year-old woman presenting with heavy menstrual bleeding and severe dysmenorrhea. Despite three months of combined oral contraceptives, symptoms persisted. The patient denied other systemic symptoms, with no weight loss, fatigue, or urinary/fecal symptoms. No visual, cardiovascular, pulmonary, abdominal, neurological, or mental health issues were reported. Pelvic imaging revealed a 7 cm × 4.3 cm FIGO 4 fibroid. The chosen treatment was laparoscopic radiofrequency ablation (Acessa) due to its efficacy, safety, and faster recovery. The case highlights the importance of a comprehensive approach to diagnosing and treating abnormal uterine bleeding.