Endometrial ablation with paracervical block.
OBJECTIVE
To evaluate the safety, feasibility and efficacy of endometrial ablation under local anesthesia.


METHODS
A prospective cohort study was performed at the gynecology department of a large teaching hospital. Women with dysfunctional uterine bleeding were included to undergo NovaSure endometrial ablation with paracervical block. We measured the acceptability, pain score (visual analog score scale), amenorrhea, and patients' satisfaction after the procedure.


RESULTS
We treated 33 patients. No complications occurred during the procedure or postoperatively. Of the 33 women, 28 found treatment with NovaSure endometrial ablation under local anesthetics acceptable. After 24 hours, 23 of 33 women reported to be pain free, whereas 10 women still had mild pain. Twenty women developed amenorrhea (60.6%) and 13 women hypomenorrhea (39.4%). All women were satisfied with the treatment result and would recommend it to a friend.


CONCLUSIONS
NovaSure endometrial ablation performed under local anesthesia is a safe, feasible and efficacious procedure.
Penninx
Josien P M
JP
Department of Obstetrics and Gynecology, Máxima Medical Centre, P.O. Box 777, 5500 MB, Veldhoven, The Netherlands. j.penninx@mmc.nl
Mol
Ben Willem
BW
Bongers
Marlies Y
MY
D000328:Adult; D000556:Ambulatory Surgical Procedures; D000773:Anesthesia, Obstetrical; D055356:Endometrial Ablation Techniques; D004717:Endometrium / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008595:Menorrhagia / Q000601:surgery; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies