Tackle the fibroid, save the uterus

Whether you’re coming in for your annual exam or are dealing with an abnormal Pap smear, infertility or complications from menopause, our experienced doctors and staff are here to help you.

Fibroids are common among all women and can often lead to heavy or painful periods and pelvic pain. For a long time, only hormonal medications and two types of surgery (cutting into the uterus or removing it completely) have been around to help women.

Now there’s another option.

The Acessa procedure is a minimally invasive surgery method that focuses heat treatment only on your fibroids to improve your symptoms, and allows the rest of your healthy uterine tissue to be preserved.

Sacramento OBGYN
Sacramento OBGYN


The Acessa® procedure is a minimally invasive surgery method that is an alternative to other options for management of fibroids. It requires only two small skin incisions (typically one in your belly button and one below your bikini line). It delivers heat (by radiofrequency ablation) directly into a fibroid to destroy its tissue which causes the fibroid to shrink and in turn relieve your symptoms

Acessa step 1

1. Prep

You are prepped and brought into the operating room for anesthesia.

Acessa step 2

2. Access

Your physician makes three small incisions – one in your belly button – one below your bikini line – and inserts a tiny camera and ultrasound into each incision.

Acessa step 3

3. Visualize

Your physician precisely locates each fibroid with the Acessa ultrasound probe and guidance mapping, allowing full view of your uterus.

Acessa step 4

4. Deploy

Next, your physician deploys the tip of the Acessa handpiece into the fibroid while preserving healthy uterine tissue.

Acessa step 5

5. Treat

Your physician deploys controlled heat through the Acessa handpiece to destroy the fibroid tissue. Your physician repeats this process until every targeted fibroid is fully treated. Once the procedure is complete, your physician stitches the small incisions on the skin.

Acessa step 6

6. Recover

You will wake up in the recovery room. Most patients get cleared to go home the same day. Women typically feel ready to return to work after 4-5 days. In terms of when you will see symptom relief – it depends on how big the fibroid is and what symptoms you’re experiencing.

See it in action:


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    Outpatient surgery
    Most all patients go home the same day.
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    Little downtime
    Most patients feel ready to return to work after 4-5 days.
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    Minimal side effects
    Most patients only require non-narcotic pain medications after surgery. No need for hormonal medications after surgery.
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    Fibroids soften and shrink
    the feeling of the fibroid turns from a hard baseball into a soft marshmallow and the volume shrinks about 50% over 9 months.
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    94% of patients report that the procedure is somewhat, moderately, or very effective in eliminating their symptoms (1).
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    98% of patients report that they would probably or definitely recommend the procedure to their friends with the same health problem (1).

(1) SG Chudnoff, et al. Outpatient Procedure for the Treatment and Relief of Symptomatic Uterine Myomas. Obstetrics and Gynecology, 2013;121(5):1075-82.

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