Evaluation of HydroThermAblator and rollerball endometrial ablation for menorrhagia 3 Years after treatment.
OBJECTIVE
To compare the safety and efficacy of endometrial ablation using HydroThermAblator (HTA) and rollerball (RB) for treatment of menorrhagia.


METHODS
Prospective, randomized, multicenter study (Canadian Task Force classification I).


METHODS
Nine private practice and university centers in the United States.


METHODS
Two hundred seventy-six women.


METHODS
Hysteroscopic endometrial ablation with the HTA (187 women) and RB (89).


RESULTS
Bleeding was assessed by pictorial diaries for 12 months, with patient interviews at 24 and 36 month. Amenorrhea rates, reduction of bleeding to normal levels or less, and patient satisfaction were tracked for 36 months, with rates in the HTA group of 53%, 94%, and 98% and in the RB group of 46%, 91%, and 97%, respectively.


CONCLUSIONS
Endometrial ablation with the HTA is a safe, effective, and durable treatment of menorrhagia in a broad patient population. It offers advantages over RB by reducing anesthesia requirements, reducing operating time, and eliminating risks of excessive fluid absorption, and is more easily learned.
Goldrath
Milton H
MH
Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan, USA.
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 / Q000628:therapy*; D017060:Patient Satisfaction; D011446:Prospective Studies; D016896:Treatment Outcome