A simple method of coagulating endometrium in patients with therapy-resistant, recurring hypermenorrhea.
OBJECTIVE
To assess the efficacy, safety, and tolerability of hydrothermablation in the treatment of recurrent menorrhagia.


METHODS
Prospective, nonrandomized survey (Canadian Task Force classification II-2).


METHODS
Endoscopic center at a university hospital.


METHODS
Eighteen premenopausal women with recurring menorrhagia resistant to hormone treatment.


METHODS
Coagulation of the endometrium at 90 degrees C for 10 minutes under hysteroscopic control.


RESULTS
During follow-up of least 12 months, nine (50%) of patients had amenorrhea and 17 (94%) had reduction or cessation of pathologic blood flow. One woman underwent hysterectomy because of recurrent dysmenorrhea.


CONCLUSIONS
In this study, hydrothermablation was a safe and effective method of treating recurrent menorrhagia. It does not require extensive training and may help avoid hysterectomy. (J Am Assoc Gynecol Laparosc 6(3):265-268, 1999)
Römer
T
T
Department of Obstetrics and Gynaecology Ernst-Mortiz-Arndt-University, Greifswald, Germany.
Müller
J
J
D000328:Adult; D003278:Contraceptives, Oral, Hormonal / Q000627:therapeutic use; D004564:Electrocoagulation / Q000295:instrumentation / Q000379:methods*; D004717:Endometrium / Q000601:surgery*; D019160:Endosonography; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008595:Menorrhagia / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D017211:Treatment Failure
D003278:Contraceptives, Oral, Hormonal