Critical assessment of dilatation and curettage in 1029 women.
Of 1029 dilatation-and-curettage operations carried out in a 12-month period, more than half were in women aged under 40, and 38% were for menstrual disturbances. The yield of intrauterine disease in these groups was low--curettage for post-menopausal bleeding or discharge in 150 women detected 15 endomettrial carcinomas and a similar number of other endometrial lesions. The complication-rate resulting from curettage was 1.7%--i.e., equivalent to the overall rate of detection of endometrial carcinoma. Selection of patients submitted to uterine curettage could be better, but postmenopausal bleeding remains an indication for mandatory uterine curettage.
D000328:Adult; D004107:Dilatation and Curettage; D004739:England; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000601:surgery; D008593:Menopause; D008599:Menstruation Disturbances / Q000601:surgery; D008875:Middle Aged; D010146:Pain / Q000601:surgery; D011127:Polyps / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014592:Uterine Hemorrhage / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery