title: Tactile Electrosurgical Ablation: A Technique for the Treatment of Intractable Heavy and Prolonged Menstrual Bleeding.
abstract: Objective. To study the efficacy and safety of tactile electrosurgical ablation (TEA) in stopping a persistent attack of abnormal uterine bleeding not responding to medical and hormonal therapy. Methods. This is a case series of 19 cases with intractable abnormal uterine bleeding, who underwent TEA at the Women's Health Center of Assiut University. The outcomes measured were; patient's acceptability, operative time, complications, menstrual outcomes, and reintervention. Results. None of the 19 counseled cases refused the TEA procedure which took 6-10 minutes without intraoperative complications. The procedure was successful in the immediate cessation of bleeding in 18 out of 19 cases. During the 24-month follow-up period, 9 cases developed amenorrhea, 5 had scanty menstrual bleeding, 3 were regularly menstruating, 1 case underwent repeat TEA ablation, and one underwent a hysterectomy. Conclusions. TEA represents a safe, inexpensive, and successful method for management of uterine bleeding emergencies with additional long-term beneficial effects. However, more studies with more cases and longer follow-up periods are warranted.
authors: Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors: Ali M
authors: AM
authors: El Saman
authors: Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors: Faten F
authors: FF
authors: AbdelHafez
authors: Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors: Kamal M
authors: KM
authors: Zahran
authors: Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors: Hazem
authors: H
authors: Saad
authors: Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors: Mohamed
authors: M
authors: Khalaf
authors: Women's Health Center, Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors: Mostafa
authors: M
authors: Hussein
authors: Department of Obstetrics & Gynecology, Faculty of Medicine, Sohag University, Sohag, Egypt.
authors: Ibrahim M A
authors: IM
authors: Hassanin
authors: Department of Obstetrics & Gynecology, University Hospital of Sana'a, Yemen.
authors: Saba M
authors: SM
authors: Shugaa Al Deen