Comparison of Laparoscopic Radiofrequency Myolysis (LRFM) and Ultrasonographic Radiofrequency Myolysis (URFM) in Treatment of Midline Dysmenorrhea.
OBJECTIVE
To access the effectiveness of radiofrequency myolysis (RFM) in women with midline dysmenorrhea.


METHODS
We designed RFM in two ways laparoscopic RFM (LRFM), vaginal ultrasound-guided RFM (URFM). One hundred and thirty-two patients were in the LRFM group and, 140 patients were in the URFM group.


RESULTS
Upon receipt of surgery, both the LRFM and the URFM groups demonstrated a significant decrease (P < 0.001) in the mean pain score when compared to those before and after surgery.


CONCLUSIONS
The RF uterine myolysis procedure provides an alternative for those patients who suffer from intractable midline dysmenorrhea. LRFM is an alternative choice because it is relatively safe and, simple to perform and moreover, it is satisfactory. LRFM appears to increasingly succeed in the treatment of midline dysmenorrhea.
Department of Nursing, Honam University, Gwangju, Korea.
Eun A
EA
Cho
Department of Obstetrics and Gynecology, College of Medicine, Chosun University, Gwangju, Korea.
Mi Jung
MJ
Um
Department of Obstetrics and Gynecology, College of Medicine, Chosun University, Gwangju, Korea.
Soo Ah
SA
Kim
Department of Obstetrics and Gynecology, College of Medicine, Chosun University, Gwangju, Korea.
Suk Jin
SJ
Kim
Department of Obstetrics and Gynecology, College of Medicine, Chosun University, Gwangju, Korea.
Hyuk
H
Jung
Dysmenorrhea; Laparoscopy; Leiomyoma; Radiofrequency myolysis; Ultrasonography