[Transcervical endometrium ablation with the roller ball method--an alternative to hysterectomy in therapy refractory, recurrent hypermenorrhea?--Initial experiences].
In 40 patients, indicated for hysterectomy because of refractory recurrent hypermenorrhea, a "roller-ball" coagulation of the endometrium was performed after exclusion of organic causes for hypermenorrhea by sonography, hysteroscopy and curettage. In 60% of the patients amenorrhoea occurred and in 37.5% hypomenorrhea was achieved. In one patient, the endometrial ablation had to be repeated twice because of persistent hypermenorrhea. There were no intra- or postoperative complications. Endometrial ablation using the Roller-Ball method can be an alternative method to hysterectomy in selected patients.
Klinik und Poliklinik für Gynäkologie und Geburtshilfe, Ernst-Moritz-Arndt-Universität Greifswald.
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D000328:Adult; D004564:Electrocoagulation / Q000295:instrumentation*; D004717:Endometrium / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007044:Hysterectomy; D020702:Hysteroscopes; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D012008:Recurrence; D013525:Surgical Instruments
Die transzervikale Endometriumablation mit der Roller-Ball-Methode--eine Alternative zur Hysterektomie bei therapieresistenten, rezidivierenden Hypermenorrhöen?--Erste Erfahrungen.