THE RFA IS AN AMAZING NON-SURGICAL PROCEDURE THAT IS EXTREMELY CONVENIENT
THE RFA PROCEDURE
Instead of surgical removal, many nodules can be “shrunk”/ablated without surgery by a treatment using a special needle. This technique was developed in 2002 and was further refined overtime, and many scientific papers have been published showing this RFA to be both efficacious, and safe.
Our institute is the first endocrinology clinic and the most experienced to offer this non-surgical treatment of thyroid nodules, and Goiters in the USA.
Ablation is accomplished by the dissipation of heat (produced by high-frequency radio waves) from the tip of a special water-cooled needle. Specialized white blood cells subsequently remove the dead nodule tissue in the weeks, and months following RFA, which causes the nodule to shrink considerably. Large-scale studies have shown an average reduction in nodule volume of approximately 60% after 3 months, and of 80% after one year, depending on the original nodule size and composition.
As the volume of the nodule decreases, complaints including: swallowing problems, pressure sensation, and feelings of constriction in the throat are reduced, as the visible bulge in the neck disappears.
We ask patients to allow a total of 2 hours time for the procedure, 30 to 60 minutes of which are required for the procedure itself, depending on nodule size. The treatment is performed using local anesthesia. Most patients say that the pain level is tolerable, or that they feel no pain at all.
Current consensus statements support the notion that RFA should be regarded as a first-line therapy for non-functioning benign thyroid nodules, while it remains a valid option for Autonomously Functioning Thyroid Nodule treatment.
Literature shows that RFA normalizes thyroid function in 45–50% of medium size AFTN and in more than 80% of small size AFTN.
Most studies have suggested that nodules less than 10-12 mL in volume have a better chance of normalizing TFTs with 1 session of RFA
We believe that for Autonomously functioning Thyroid Nodule RFA should be considered first line treatment, due to its excellent safety profile and cost effectiveness compared to surgery. This is borne out by our own sample size of over 25 toxic nodules.
RFA PARATHYROID SURGERY
The first definitive non-surgical treatment of parathyroid adenoma in the USA.