Abstract | OBJECTIVE: DESIGN: SETTING: District general hospital. POPULATION: Forty-three women with completed families and with failed medical management for menorrhagia were treated with microwave endometrial ablation between October 1994 and April 1995. MAIN OUTCOME MEASURES: A statement of perceived menstrual loss and satisfaction supported by a menstrual symptom questionnaire score. Dysmenorrhoea was graded as a measure of described severity. Treatment time. RESULTS: Forty-three women had a total of 46 treatments. Mean treatment time: n = 43, was 141 seconds (50-310). Amenorrhoea: n = 16; 37.2%. Very light periods/discharge: n = 11; 25.6%. Improved periods and woman satisfied: n = 9; 20.9%. Improved periods and woman not satisfied: n = 1; 2.3%. Overall satisfaction at three years is 83.7%. Moderate (55.8%) or severe (27.9%) dysmenorrhoea pre-operatively had improved to 11.6% and 6.8% respectively at three years. Three re-treatments and four hysterectomies will be discussed. CONCLUSIONS: Microwave endometrial ablation is a new treatment for dysfunctional uterine bleeding using the application of microwave energy to the endometrium. This results in a rapid but restricted depth of intrauterine heating avoiding hysteroscopic fluid, operative haemorrhage and earthing risks. The technique is simple to learn and perform. Women report a high level of satisfaction three years after microwave endometrial ablation.
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Authors | D A Hodgson, I B Feldberg, N Sharp, N Cronin, M Evans, L Hirschowitz |
Journal | British journal of obstetrics and gynaecology
(Br J Obstet Gynaecol)
Vol. 106
Issue 7
Pg. 684-94
(Jul 1999)
ISSN: 0306-5456 [Print] England |
PMID | 10428525
(Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Catheter Ablation
(instrumentation)
- Cohort Studies
- Dysmenorrhea
(surgery)
- Endometrium
(surgery)
- Female
- Humans
- Menorrhagia
(surgery)
- Microwaves
(therapeutic use)
- Middle Aged
- Patient Satisfaction
- Treatment Outcome
- Uterine Diseases
(surgery)
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