title: Long-term follow-up of endometrial ablation by modified loop resection.
abstract: OBJECTIVE
  To describe endometrial ablation by rollerbar-loop-rollerbar (RLR) technique and determine the procedure's long-term results.
  
  
  METHODS
  Prospective observational study (Canadian Task Force classification II-2).
  
  
  METHODS
  Private gynecology practice.
  
  
  METHODS
  One hundred seventeen women with menorrhagia not related to malignancy who were not interested in future fertility.
  
  
  METHODS
  After performing rollerbar ablation through a short large Graves speculum, loop resection was carried out down to and throughout superficial myometrium. Rollerbar redesiccation of the cornua and supracervical areas of the uterus completed the procedure.
  
  
  RESULTS
  Patients were contacted by telephone or mail 4 to 5 years after RLR and asked to complete a questionnaire to assess their bleeding status, level of satisfaction with the procedure, and whether or not they had undergone hysterectomy. Of 109 patients responding, 60 (55%) were amenorrheic or menopausal with no bleeding, 21 (19%) had spotting, and 17 (16%) had undergone hysterectomy. Eighty-four (79%) were very satisfied.
  
  
  CONCLUSIONS
  RLR endometrial ablation was associated with a high rate of amenorrhea and substantial long-term patient satisfaction, but the rate of postablation hysterectomy remained significant.
authors.affiliation: 1700 Mistletoe Boulevard, Fort Worth, TX 76104, USA.
authors.forename: Hugh T
authors.initials: HT
authors.lastname: Lefler
mesh_terms: D000328:Adult; D000368:Aged; D017115:Catheter Ablation / Q000379:methods*; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D009215:Myometrium / Q000601:surgery*; D011446:Prospective Studies; D016896:Treatment Outcome