The University of Chicago Medicine is one of few medical centers nationwide offering radiofrequency ablation of fibroids.

How Acessa Shrinks and Removes Fibroid Tumors

Radiofrequency thermal ablation, most commonly known as Acessa, is an outpatient procedure that destroys living fibroid tissue using a thin radiofrequency needle. During a laparoscopic gynecologic procedure, Acessa can thermally dehydrate the fibroid in the uterus. Then, the body’s natural process gradually reabsorbs the fibroid into surrounding tissue in the uterus.

Acessa is performed under general anesthesia as an outpatient procedure. Patients typically resume normal activities within a week.

Alternative to the Acessa Procedure

Acessa enables some patients to keep their uterus and obtain relief from their symptoms without a larger surgery. It is important to know that depending on the size and location of your fibroid, Acessa may not be an appropriate option for you.

For patients who desire to maintain their fertility, we recommend myomectomy because the effects of Acessa on future pregnancy are unknown.

At a Glance: Acessa Procedure vs. Minimally Invasive Myomectomy



Minimally Invasive Myomectomy


Performed by gynecologic surgeon

Performed by gynecologic surgeon

Surgical or Nonsurgical

Requires small incisions in the abdomen

Does not require incisions in the abdomen if performed via hysteroscope; requires small incisions if performed robotically or laparoscopically


General anesthesia

General anesthesia

How It Works

Shrinks fibroids by using controlled heat to destroy fibroid tissue; preserves the uterus

Removes fibroids surgically; preserves the uterus

Inpatient or Outpatient

Patients usually go home the same day.

Patients usually go home the same day after hysteroscopic and most laparoscopic or robotic myomectomies.


Quick recovery (less than a week)

Quick recovery (less than a week for hysteroscopy; up to two weeks for laparoscopy or robotic)

Pregnancy and Fertility

Effects on future pregnancy are uncertain

Option for patients desiring future pregnancy

Meet Our Acessa Procedure Specialist

Request an Appointment

The information you provide will enable us to assist you as efficiently as possible. A representative will contact you within one to two business days to help you schedule an appointment.

You can also make an appointment with our providers by:

Scheduling a virtual video visit to see a provider from the comfort of your home

Requesting an online second opinion from our specialists

Filling out an online questionnaire (e-visit) to get a same-day diagnosis and treatment for common conditions.

To speak to someone directly, please call 1-888-824-0200. If you have symptoms of an urgent nature, please call your doctor or go to the emergency room immediately.


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Uterine Fibroids