Factors influencing long-term outcome of loop endometrial resection.
OBJECTIVE
To analyze factors that contribute to long-term success of loop endometrial resection (ER).


METHODS
Observational cohort study (Canadian Task Force classification II-2).


METHODS
Tertiary care university hospital.


METHODS
Two hundred eighty-six premenopausal women with menometrorrhagia resistant to medical treatment.


METHODS
Loop endometrial resection.


RESULTS
Mean follow-up was 47 months. Life table analysis with log rank test was determined to calculate the risk of hysterectomy after ER. Patient age, length of follow-up, adenomyosis, and uterine size were analyzed independently. More than 75% of patients benefited from the procedure, avoiding hysterectomy after 5 years.


CONCLUSIONS
Length of follow-up, patient age, and the presence of adenomyosis strongly influence the long-term success of ER. The procedure should be considered an intermediate step between medical treatment and hysterectomy.
Pérez-Medina
Tirso
T
Department of Gynecology and Obstetrics, Santa Cristina University Hospital, C/O'Donnell, 59, 28009 Madrid, Spain.
Haya
Javier
J
Frutos
Luis San
LS
Arenas
José Bajo
JB
D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015907:Hysteroscopy; D015993:Life Tables; D008595:Menorrhagia / Q000601:surgery*; D008796:Metrorrhagia / Q000601:surgery*; D008875:Middle Aged; D012044:Regression Analysis; D016896:Treatment Outcome