Uterine fibroids(leiomyomas) are common benign tumors, with a higher prevalence in women who are aged between 35 to 50 years, although some women may develop fibroids at a younger age. They can cause abnormal uterine bleeding, pelvic pressure, bowel dysfunction, frequent urination and urgency, urinary retention, low back pain, constipation, and dyspareunia. Normally, 2D ultrasound images are used to diagnose fibroids. 

Ultrasonography(US)-guided transvaginal (TVS) radiofrequency ablation (RFA) in the treatment of fibroids that can be performed without the need for any abdominal cut or multiple incisions like that of existing laparotomy and laparoscopy procedures. Placement of Radiofrequency ablation (RFA) electrodes into the fibroid under ultrasound guidance and manually maneuvering to all the locations is an extremely skilled procedure. Further, there is no guidance/reference for the force required in piercing the fibroid with the RFA electrode since the texture of fibroids differs significantly. Another important aspect is fibroid Mapping: Identifying the exact location and volume of the fibroid with ultrasound images is often a challenge. Thus there are challenges in treating the fibroid just with the radiofrequency electrode and existing 2D ultrasound images This has been effectively addressed by the planning system and navigation arm by Nesa MedTech, through GYIDE.

The purpose of this study is to assess the performance of the GYIDE device that helps in processing diagnostic ultrasound imaging to provide planning and positional guidance for transvaginal approach for delivering radiofrequency ablation