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What is Radiofrequency Ablation (RFA)?
Radiofrequency Ablation (RFA) is a minimally invasive medical procedure that uses thermal energy to shrink and treat benign thyroid nodules. It is a safe and effective alternative to surgery for managing thyroid nodules.
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Who is a candidate for RFA?
RFA is typically recommended for patients with benign thyroid nodules 3.5 cm or smaller that are causing symptoms such as difficulty swallowing, breathing, or cosmetic concerns. Your thyroid specialist will evaluate your specific case to determine if RFA is the right treatment option for you.
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How does RFA work?
During an RFA procedure, a thin, specialized needle is inserted directly into the thyroid nodule. Radiofrequency energy is then delivered through the needle, heating and destroying the nodule's tissue. Over time, the nodule shrinks, alleviating symptoms.
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Is RFA safe?
Yes, RFA is considered a safe and well-tolerated procedure with minimal risks. Our experienced team at the Clayman Thyroid Center follows strict safety protocols to ensure your well-being throughout the process.
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What are the benefits of RFA over surgery?
RFA offers several advantages over traditional thyroid surgery, including:
- Minimally invasive: No surgical incisions are required, leading to less pain and a shorter recovery period.
- Preserves thyroid function: RFA targets only the nodule, leaving the surrounding healthy thyroid tissue intact.
- Reduced scarring: Unlike surgery, RFA does not leave visible scars on the neck.
- Outpatient procedure: Most RFA treatments can be performed on an outpatient basis, allowing you to return home the same day.
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Do I need a biopsy before RFA?
Yes, a biopsy is required to confirm that the thyroid nodule is benign. If a biopsy hasn’t been performed recently or if the nodule has changed, your doctor may recommend a new biopsy.
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Can RFA be performed on a goiter?
RFA can be performed on smaller thyroid goiters if they are benign and meet the criteria for size and location. However, large or complex goiters may require alternative treatments, such as surgery.
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Is RFA a good option if I also have Hashimoto's Disease?
Yes, RFA can still be a good option for patients with Hashimoto's Disease as long as the nodule meets the criteria for size and biopsy results. Your doctor will evaluate your specific case to ensure RFA is appropriate
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How long does the RFA procedure take?
The duration of the RFA procedure depends on the size and location of the thyroid nodule but typically takes a few hours.
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What can I expect during the recovery period?
Recovery from RFA is generally quicker and less painful than recovery from surgery. You may experience mild discomfort and a sore throat for a few days. Most patients can resume their normal activities within a week.
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How soon will I see results after RFA?
Many patients experience symptom relief and notice a reduction in the size of the thyroid nodule within a few weeks to a few months after the RFA procedure.
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Can RFA be used on all types of thyroid nodules?
RFA is for benign thyroid nodules only. Your specialist will assess the characteristics of your nodule to determine if RFA is a suitable treatment option.
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Can RFA completely eliminate a thyroid nodule?
While RFA is highly effective in reducing the size of thyroid nodules and alleviating symptoms, it may not always eliminate the nodule entirely. The extent of reduction depends on various factors, including the nodule's size and location.
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Can I choose RFA if I have multiple thyroid nodules?
RFA can be used to treat multiple thyroid nodules in the same session, making it a convenient option for individuals with multiple nodules. Your healthcare provider will determine the best approach based on your specific case.
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Are there any long term effects of RFA on thyroid health?
RFA is designed to be a long-lasting solution for benign thyroid nodules. Studies have shown that the reduction in nodule size and symptom relief can be maintained over several years. However, long-term follow-up with your healthcare provider is essential to monitor your thyroid health.
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Can I have RFA if I am pregnant?
RFA is generally not recommended during pregnancy. If you are planning to become pregnant, it is important to discuss your options with your healthcare provider to determine the best course of action.
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What is the success rate of RFA on benign thyroid nodules?
RFA has a high success rate in reducing the size of benign thyroid nodules and improving symptoms. The success rate can vary depending on the size and characteristics of the nodule, but many patients experience significant improvement in their condition.
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Can RFA be performed on nodules with suspicious or cancerous features?
RFA is primarily intended for benign thyroid nodules. If there are suspicious features or a risk of thyroid cancer, your healthcare provider will recommend additional tests or treatments, such as fine-needle aspiration (FNA) biopsy or surgery, as appropriate.
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Is RFA painful?
No, RFA is generally not painful. A local anesthetic is used to numb the area, and most patients experience little to no discomfort during the procedure. Any post-procedure pain is mild and can be managed with over-the-counter medications.
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What type of anesthesia is used for RFA?
RFA is performed using local anesthesia to numb the area around the thyroid. If needed, anxiety medication may be provided in advance to help you relax.
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Can I come to the hospital for the procedure by myself?
We recommend you have someone to drive you home after the procedure. Although RFA is minimally invasive, you may feel drowsy or uncomfortable after the procedure.
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Will I need to stay overnight in the hospital?
No, RFA is an outpatient procedure. Patients can go home the same day but will need a driver to accompany them.
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Will my nodule need to be monitored after RFA?
Yes, follow-up care is essential. Your doctor will recommend periodic ultrasounds to monitor the size of the treated nodule and ensure there are no complications.
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How soon can I resume work/normal activities after RFA?
Most patients can return to work and resume normal activities within a week of the RFA procedure. Your healthcare provider will provide personalized recommendations based on your recovery progress.