Endometrial laser intrauterine thermotherapy for the treatment of dysfunctional uterine bleeding: the first British experience.
Forty patients due to undergo endometrial ablation as a treatment for dysfunctional uterine bleeding were recruited to assess the efficacy and safety of endometrial laser intrauterine thermo-therapy using the gynelase. At 12 months the average menstrual score reduction was 88%, the amenorrhoea rate was 70%, and the hypomenorrhoea rate 16%. Four women (10%) have had a hysterectomy for persistent menorrhagia, and one (3%) for pelvic pain. One patient (3%) has had a further endometrial laser ablation. There were no major complications. and 34 patients (85%) were most satisfied with the treatment. The system is easy to use and has a short learning curve.
Jones
K
K
Department of Obstetrics and Gynaecology, Royal Surrey County Hospital, Guildford, UK.
Abbott
J
J
Hawe
J
J
Sutton
C
C
Garry
R
R
D000328:Adult; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D017075:Laser Coagulation / Q000295:instrumentation / Q000379:methods*; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D017697:Premenopause; D016896:Treatment Outcome