Thermal balloon and rollerball ablation to treat menorrhagia: two-year results of a multicenter, prospective, randomized, clinical trial.
OBJECTIVE
To evaluate 2-year follow-up results in patients participating in a randomized, clinical trial comparing uterine balloon therapy with rollerball endometrial ablation.


METHODS
Prospective, randomized, clinical trial (Canadian Task Force classification I).


METHODS
Fourteen university-affiliated and private practice sites.


METHODS
Two hundred fifty-five women with menorrhagia.


METHODS
Patients were randomized to rollerball or uterine balloon endometrial ablation.


RESULTS
Patient satisfaction with both treatments was consistently high. Only 15 hysterectomies had been performed (6 for menorrhagia) at the end of 2 years, 11 in the rollerball group, 4 in the balloon therapy group.


CONCLUSIONS
Endometrial ablation by both procedures was highly successful in avoiding hysterectomy and relieving symptoms of menorrhagia. Additional benefits were reduction in dysmenorrhea and premenstrual syndrome.
Grainger
D A
DA
Division of Reproductive Endocrinology, University of Kansas School of Medicine Wichita, 2903 East Central, Wichita, KS 67214, USA.
Tjaden
B L
BL
Rowland
C
C
Meyer
W R
WR
D000328:Adult; D017115:Catheter Ablation / Q000379:methods*; D002404:Catheterization / Q000379:methods; D004598:Electrosurgery / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006358:Hot Temperature; D006801:Humans; D007044:Hysterectomy; D008595:Menorrhagia / Q000601:surgery*; D011446:Prospective Studies