Hysteroscopic endometrial ablation as a treatment for abnormal uterine bleeding in patients with renal transplants.
OBJECTIVE
To assess the effectiveness and safety of hysteroscopic endometrial ablation as a surgical management of abnormal uterine bleeding that develops in patients with renal transplants.


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


METHODS
Yonsei University Medical College, Severance Hospital.


METHODS
Sixty-two women with abnormal uterine bleeding who had undergone renal transplantation.


METHODS
Hysteroscopic endometrial ablation.


RESULTS
Fifty-four out of 62 patients (87.0%) who had undergone hysteroscopic endometrial ablation reported decreased bleeding (95% CI: 0.76 to 0.94): amenorrhea in 25 (40.3%), spotting in 19 (30.6%), and eumenorrhea in 10 (16.1%). Mean follow-up duration was 6 months. No complications related to the procedure were reported. Levonorgestrel-releasing intrauterine systems (LNG-IUSs) were inserted into eight patients who experienced continuous bleeding, five of whom showed symptomatic improvement: spotting in three (4.9%) and eumenorrhea in two (3.2%). The three patients (4.9%) in whom the LNG-IUS had no effect had hysterectomies, and the resultant pathologic findings were two cases of adenomyosis and one case of simple endometrial hyperplasia without atypia.


CONCLUSIONS
Hysteroscopic endometrial ablation as a surgical management of abnormal uterine bleeding that develops in patients with renal transplants is an effective and safe procedure.
Jeong
Kyung-Ah
KA
Department of Obstetrics and Gynecology, Ewha Womans University College of Medicine, Seoul, Korea.
Park
Ki Hyun
KH
Chung
Da Jung
DJ
Shin
Jong Seung
JS
Bai
Sang Wook
SW
Lee
Byung Seok
BS
Cho
Dong Jae
DJ
Song
Chan Ho
CH
D000328:Adult; D015331:Cohort Studies; D016001:Confidence Intervals; D004564:Electrocoagulation / Q000379:methods; D004717:Endometrium / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016030:Kidney Transplantation; D008595:Menorrhagia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000601:surgery