title: [Evaluation of endometrectomy by radiofrequency for premenopausal women: a retrospective study].
abstract: OBJECTIVE
  In present study, we are assessing the efficiency of endometrial ablation by radiofrequency (Novasure(®)) for the treatment of abnormal uterine bleeding.
  
  
  METHODS
  A total of 90 patients underwent an endometrial ablation by radiofrequency for uterine bleeding between 2009 and 2012. For the postoperative follow-up, symptoms amelioration and eventual adverse-events were evaluated by a self-administered questionnaire given to all patients after the surgery.
  
  
  RESULTS
  Sixty-five patients (74%) responded to the questionnaire with an average of 17.5 months. Among them, endometrial bleeding decreased in 92% of the cases (IC 95%; 86-99). The amenorrhea rate was 55% (IC 95%; 43-67) and 36% of the patients presented a diminution of menstrual bleeding after treatment. Thirty-two patients (36%) presented dysmenorrhea before the radiofrequency and 78% of them experienced an amelioration of the symptoms after treatment (IC 95%; 64-93). In 19 patients (21%), the cause of uterine bleeding was adenomyosis, among them, bleeding decreased in 84% of the cases (IC 95%; 71-98) and dysmenorrhea in 70%. (IC 95%; 41-97). Finally, 84% of the patients were satisfied with the result of the treatment.
  
  
  CONCLUSIONS
  Our findings suggest that endometrial radiofrequency is effective for the treatment of menometrorrhagia, dysmenorrhea and also adenomyosis.
authors.affiliation: Service de Gynécologie-Obstétrique, Hospices Civils de Lyon, Hôpital de la Croix-Rousse, France. laurinemaillet@gmail.com
authors.forename: L
authors.initials: L
authors.lastname: Maillet
authors.forename: P
authors.initials: P
authors.lastname: de Saint-Hilaire
authors.forename: R-C
authors.initials: RC
authors.lastname: Rudigoz
authors.forename: G
authors.initials: G
authors.lastname: Dubernard
mesh_terms: D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods*; D002585:Cesarean Section / Q000706:statistics & numerical data; D055356:Endometrial Ablation Techniques / Q000379:methods*; D005260:Female; D006801:Humans; D008796:Metrorrhagia / Q000453:epidemiology / Q000601:surgery; D008875:Middle Aged; D010298:Parity; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D017697:Premenopause; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Adenomyosis; Adénomyose, Endométrectomie; Dysménorrhée; Endometrectomy; Menorragia; Ménométorragies; NovaSure(®); Radiofrequency; Radiofréquence