Outpatient Endometrial Resection and Ablation of a Large Uterus
To determine if a large uterus will shrink after fibroid resection and ablation, 32 women with hypermenorrhea underwent fibroid resection and a minimum of 9 months' follow-up (mean 9 mo-3.5 yrs). Uterine measurements were determined by bimanual examinations before and after the procedure. The women's perceptions of menstrual flow and dysmenorrhea were compared at those time points. After a minimum of 6 months' follow-up, the uterine cavity size decreased by 3 to 8 weeks in 79% of women, menstruation was reduced to either amenorrhea or hypomenorrhea in 88%, and pain was relieved in 76%. Outpatient endometrial resection and ablation is an effective procedure to decrease uterine size and relieve the associated sign of hypermenorrhea.
Kresch
AJ
Stanford University School of Medicine, 780 Welch Road, Suite 206, Palo Alto, CA 94304.