Long-term results of endometrial ablation-resection.
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.
Comino
Rafael
R
Servico de Obstetricia y Ginecologia, Hospital Universitario de Puerto Real (Cádiz), Carretera Nacional IV, KM 665, Puerto Real, Cadiz 11008, Spain.
Torrejón
Rafael
R
Sánchez-Ortega
Inmaculada
I
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