title: Endometrial ablation: is tubal ligation a risk factor for hysterectomy.
abstract: OBJECTIVE
  To determine whether tubal ligation is a risk factor for future hysterectomy after second-generation endometrial ablation.
  
  
  METHODS
  Retrospective chart review (Canadian Task Force classification II-3).
  
  
  METHODS
  Resident-run clinic and private office in a community setting.
  
  
  METHODS
  Five hundred eighty-seven patients who underwent endometrial ablation.
  
  
  METHODS
  Patients underwent endometrial ablation using either radiofrequency or thermal balloon. Data collected included age, body mass index, uterine length, and endometrial stripe, as well as smoking status and presence or absence of hypertension and hypothyroidism. Indication for hysterectomy and pathologic findings at hysterectomy were also examined.
  
  
  RESULTS
  There was no association between tubal ligation and second-generation endometrial ablation resulting in hysterectomy (p = .09). Statistically significant variables included endometrial stripe (p <.001) and smoking (p <.001). There was no statistical significance between the groups insofar as type of ablation, age, body mass index, uterine length, hypertension, or hypothyroidism. Time from endometrial ablation to hysterectomy between groups was not significant. Indication for hysterectomy and pathologic findings after hysterectomy were also not significant.
  
  
  CONCLUSIONS
  Tubal ligation is not a statistically significant risk factor for hysterectomy after endometrial ablation. Tubal ligation does not affect the length of time from endometrial ablation to hysterectomy.
authors.affiliation: Aultman Hospital, Canton, Ohio. Electronic address: skreider@aultman.com.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Kreider
authors.forename: Randall
authors.initials: R
authors.lastname: Starcher
authors.forename: Jason
authors.initials: J
authors.lastname: Hoppe
authors.forename: Karl
authors.initials: K
authors.lastname: Nelson
authors.forename: Neil
authors.initials: N
authors.lastname: Salas
mesh_terms: D000328:Adult; D055356:Endometrial Ablation Techniques; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013246:Sterilization, Tubal; D016896:Treatment Outcome
keywords: Endometrial ablation; Postablation tubal sterilization syndrome; Tubal ligation