title: Long-term results of endometrial ablation-resection.
abstract: OBJECTIVE
  To estimate long-term (>5 yrs) results of endometrial ablation-resection performed in women with abnormal uterine bleeding (AUB).
  
  
  METHODS
  Retrospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  University-affiliated hospital.
  
  
  METHODS
  Fifty-five women.
  
  
  METHODS
  Endometrial ablation-resection by electrocoagulation with a rollerball of the uterine fundus and zone of tubal ostia, followed by electrodissection with a cutting loop of the rest of the uterine cavity.
  
  
  RESULTS
  At 5 years after the procedure the success rate was 81.8%. Of 10 women in whom the procedure failed, hysterectomy had to be performed in 6 (10.9%) for recurrent AUB. Of 55 patients, 47 were followed for 6 years for a success rate of 85.1%, 36 were followed for 7 years with a success rate of 83.3%, and 20 were followed for 8 or more years with a success rate of 80.0%.
  
  
  CONCLUSIONS
  Endometrial ablation-resection achieved a success rate of 81.8% at 5 years, and this percentage remained fairly stable throughout the following 4 years. Taking into account only cases of AUB without other organic pathology, the rate was close to 90%. In women with a relatively large uterus (=10 cm), those with myomas or polyps, and patients with dysmenorrhea, the success rate tends to be lower.
authors.affiliation: Servico de Obstetricia y Ginecologia, Hospital Universitario de Puerto Real (Cádiz), Carretera Nacional IV, KM 665, Puerto Real, Cadiz 11008, Spain.
authors.forename: Rafael
authors.initials: R
authors.lastname: Comino
authors.forename: Rafael
authors.initials: R
authors.lastname: Torrejón
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Sánchez-Ortega
mesh_terms: D000328:Adult; D004412:Dysmenorrhea / Q000601:surgery; D004564:Electrocoagulation; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D011127:Polyps / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery