Endometrial resection and late reoperation in the treatment of menorrhagia.
OBJECTIVE
To evaluate the effectiveness of transcervical resection of the endometrium and indications for late reoperation.


METHODS
Retrospective study.


METHODS
Central hospital in northern Norway.


METHODS
Two hundred fifty women (age 30-59 yrs) with dysfunctional bleeding.


METHODS
Hysteroscopic transcervical resection of the endometrium.


RESULTS
Success as measured by patient satisfaction at 3-month follow-up was 97% and at 4 to 48 months was 91.6%. Mean observation time was 24 months. Twenty-one women required further surgery. Repeat resection was performed in eight women (3.2%), of whom 95% were satisfied. Thirteen women (5.2%) had a hysterectomy. Late reoperation was performed in 7 patients (2.8%) due to recurrent unacceptable vaginal bleeding and in 14 (5.6%) due to late onset of pain.


CONCLUSIONS
After endometrial resection, a definite subgroup (8.4%) of women developed late onset of pain or bleeding requiring reoperation.
Steffensen
A J
AJ
Kvinneklinikken, Nordland Sentralsykehus, N-8017 Bodo, Norway.
Schuster
M
M
D000328:Adult; D004564:Electrocoagulation; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016729:Leuprolide / Q000627:therapeutic use; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D011300:Preoperative Care; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
D016729:Leuprolide