HIFU Versus Myomectomy for the Treatment of Symptomatic Uterine Fibroids

The HIFU treatment will utilize the Haifu JC 200 system under real-time ultrasound guidance, with participants positioned prone in a water-filled generator chamber. Conscious sedation will be administered using fentanyl and midazolam, adjusted based on pain tolerance. Acoustic output power will range from 300 to 400W.

Laparoscopic or open or hysteroscopic myomectomy will be performed.