Long-term efficacy of transcervical endometrial resection with no preoperative hormonal preparation.
OBJECTIVE
To assess the level of patient satisfaction after transcervical endometrial resection (TCRE) with no preoperative hormonal preparation.


METHODS
A retrospective audit of a continuous case series was accomplished on 131 consecutive patients who underwent TCRE for dysfunctional uterine bleeding. Data of postal questionnaires were analysed and subjected to survival analysis.


RESULTS
Thirty-three cases were lost to follow-up; thus, the data on 98 of the 131 (74.8%) patients were analysed. The average follow-up period was 94.8 months (60-132). Twenty (20.4%) women required D&C and 15 (15.3%) had hysterectomy. In eight of the 15 cases, the indication for hysterectomy was not related with the primary operation. The chance of avoiding hysterectomy reached a plateau after 72 months, at 78.3% (SE: 5.05%). The chance of avoiding D&C at up to 36 months was 98.6% (SE: 1.4%), and reached a plateau after 107 months at 67.11% (SE: 6.1%); 55.8% of the patients became amenorrhoeic, the remaining cases reporting good improvements in the amount and duration of bleeding, and dysmenorrhoea. Eighty-six of the 98 patients (88%) were satisfied or very satisfied with the result.


CONCLUSIONS
TCRE affords reasonable long-term effectiveness in the treatment of dysfunctional uterine bleeding, even without any preoperative hormonal endometrial preparation.
Molnár
Béla G
BG
Department of Obstetrics and Gynaecology, Consultant Obstetrician and Gynaecologist, University of Szeged, Semmelweis u. 1, H-6725 Szeged, Hungary. molnargb@vnet.hu
Kormányos
Zsolt
Z
Kovács
László
L
Pál
Attila
A
D000328:Adult; D000368:Aged; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D020249:Hormone Replacement Therapy; D006801:Humans; D007044:Hysterectomy; D008796:Metrorrhagia / Q000601:surgery; D008875:Middle Aged; D011300:Preoperative Care; D012086:Reoperation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome