Evidence map›Paper›PMID 33544889›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2021

Transcervical fibroid ablation with the Sonata™ system for treatment of submucous and large uterine fibroids.

Gregory Shifrin, Matthias Engelhardt, Phyllis Gee, Gregor Pschadka

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01226290 naterminatednot on this map

Symptom Effectiveness Study of VizAblate™ Intrauterine Ultrasound-Guided RF Ablation (IUUSgRFA) in the Ablation of Uterine Fibroids

TypeinterventionalSponsorGynesonicsRan2011 to 2014Enrolled51ConditionsLeiomyoma, Uterine Fibroids, MenorrhagiaArmsVizAblate System
NCT02228174 nacompletednot on this map

Evaluation of the Gynesonics System for Transcervical Treatment of Symptomatic Uterine Fibroids With Radiofrequency Ablation Under Integrated Intrauterine Sonography Guidance

TypeinterventionalSponsorGynesonicsRan2014 to 2019Enrolled147ConditionsMenorrhagiaArmsIntrauterine Ultrasound-Guided Radiofreq. Ablation System
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Contemporary Management of Uterine Fibroids.Journal of clinical medicine · 2026
    Review
  2. Article
  3. Safety and efficacy of combining transcervical fibroid ablation with operative hysteroscopy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Gregory ShifrinSurgery of Tomorrow ASC, Brooklyn, NY, USA.
Matthias EngelhardtDepartment of Gynecology, Josephs-Hospital Warendorf, Warendorf, Germany.
Phyllis GeeWillowbend Health and Wellness, Frisco, TX, USA.
Gregor PschadkaDepartment of Gynecology, Josephs-Hospital Warendorf, Warendorf, Germany.
Eppendorf (Germany) · DETomorrows Children’s Fund · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the role and benefits of transcervical fibroid ablation (TFA) in the treatment of submucous and large uterine fibroids.

methodsA subgroup of patients with submucous or large fibroids were analyzed from two prospective clinical trials (FAST-EU and SONATA) of sonography-guided TFA with the Sonata

resultsAmong 197 women (534 treated fibroids), 86% of women with only submucous fibroids and 81% of women with large fibroids (>5 cm) experienced bleeding reduction within 3 months post-ablation. Overall symptom severity and health-related quality of life showed sustained, significant improvements over 12 months. Additional fibroid mapping of large fibroids with magnetic resonance imaging in the FAST-EU trial showed an average volume reduction of 68%. Among women with only submucous fibroids, the rate of surgical reintervention through 1 year of follow up was 3.7% in FAST-EU and 0.0% in SONATA.

conclusionWith the Sonata system, TFA is an effective single-stage treatment option for non-pedunculated submucous myomata, and larger or deeper uterine fibroids (including fibroid clusters) for which hysteroscopic treatment is not suitable. ClinicalTrials.gov: FAST-EU, NCT01226290; SONATA, NCT02228174.

Indexed as

LeiomyomaMenorrhagiaUterine NeoplasmsFemaleHumansProspective StudiesQuality of LifeTreatment Outcomeleiomyomaradiofrequency ablationSONATAtranscervical fibroid ablationuterine fibroid

Identifiers

PMID33544889
PMCPMC8518813
OpenAlexW3128621816

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.