Long-term follow-up of endometrial ablation.
OBJECTIVE
To assess long-term outcome of endometrial ablation for treatment of menorrhagia.


METHODS
Five-year, prospective longitudinal study (Canadian Task Force classification II=1).


METHODS
University teaching hospital.


METHODS
The first 301 women in a continuing series of over 550 patients undergoing hysteroscopic endometrial ablation.


METHODS
Hysteroscopic endometrial ablation.


RESULTS
Patients were followed at regular intervals for 24 to 60 months (mean 28 mo). Outcomes were reported in terms of control of menstrual blood loss and menstrual pain with respect to normal uterus, fibroid uterus, dysmenorrhea, and patient age.


CONCLUSIONS
Hysteroscopic endometrial ablation is effective for relief of menorrhagia and associated dysmenorrhea in selected patients. Success may decline with increasing length of follow-up.
Martyn
P
P
Department of Obstetrics and Gynecology, Foothills Hospital, Calgary, Canada.
Allan
B
B
D000328:Adult; D004717:Endometrium / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D015993:Life Tables; D008137:Longitudinal Studies; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012086:Reoperation; D012984:Software; D013997:Time Factors; D016896:Treatment Outcome