Acessa Procedure


What is the Acessa Procedure? 

The medical term for the Acessa procedure is Laparoscopic Radiofrequency Ablation (Lap RFA). That’s a real mouthful. Essentially, what the doctor does is deliver heat directly into a fibroid in order to treat the tissue and in turn, relieve your symptoms.

Acessa ProVu® System Benefits:
  • First and only fully integrated system utilizing laparoscopic ultrasound, guidance mapping and radiofrequency ablation
  • Originally designed by a gynecologist, specifically for uterine fibroids
  • Identifies 1.5-2.0x more fibroids than preoperative TVUS and MRI
  • Most complete view of fi broids allowing surgeons to identify more fi broids than any other uterine sparing, minimally invasive procedure
  • 11% cumulative 3-yr reintervention rate
Clinically proven symptom relief – even on highly symptomatic patients
  • Significant improvement in Health Related Quality of Life and Symptom Severity Scores by 3 months and continued out to 3 years
  • Fibroid & Uterine Size Reduction - Average 45% volumetric reduction of fi broid size, 24% volumetric reduction of uterine size by 12 months
  • Heavy Menstrual Bleeding Relief - Significant improvement in HMB; avg. of 103 mL decrease in blood loss per cycle by 12 months after baseline (~20 tampons), measured objectively by alkaline-hematin method
  • Studied Highly Symptomatic Patients - Baseline menstrual blood loss ranging up to 500 mL per cycle (~100 tampons per cycle) and included symptoms: bulk, pain, back pain, etc.

 Is the Acessa Procedure right for me?

If you’re not planning to have children in the future, the Acessa procedure might be a good option for you. And since it’s not major surgery, you can get back to life faster.

While the Acessa procedure is right for some, only you and your physician can decide the best treatment option for you. Schedule an appointment with one of our physicians who perform these minimally invasive procedures to discuss the risks and benefits of surgery and find out if Acessa may be right for you.

The Acessa Procedure is perfromed by David Eisenstein, MD and Evan Theoharis, MD at St. Joseph Mercy Oakland Hospital. For more information, schedule an appointment with Dr. Eisenstein or Dr. Theoharis. 



David Eisenstein

David Eisenstein, MD

IHA Obstetrics & Gynecology Rochester Hills

Evan Theoharis, MD

Evan Theoharis, MD

IHA Obstetrics & Gynecology Rochester Hills