title: Hysteroscopic endometrial ablation as a treatment for abnormal uterine bleeding in patients with renal transplants.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Ewha Womans University College of Medicine, Seoul, Korea.
authors.forename: Kyung-Ah
authors.initials: KA
authors.lastname: Jeong
authors.forename: Ki Hyun
authors.initials: KH
authors.lastname: Park
authors.forename: Da Jung
authors.initials: DJ
authors.lastname: Chung
authors.forename: Jong Seung
authors.initials: JS
authors.lastname: Shin
authors.forename: Sang Wook
authors.initials: SW
authors.lastname: Bai
authors.forename: Byung Seok
authors.initials: BS
authors.lastname: Lee
authors.forename: Dong Jae
authors.initials: DJ
authors.lastname: Cho
authors.forename: Chan Ho
authors.initials: CH
authors.lastname: Song
mesh_terms: 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