Abstract
OBJECTIVE: To compare menstrual status, satisfaction, and acceptability of microwave endometrial ablation with transcervical endometrial resection for the treatment of heavy menstrual bleeding.
METHODS: Women were randomized to either endometrial ablative method. Menstrual status, satisfaction, acceptability, and changes in health-related quality of life were obtained by a self-completed questionnaire. Case note review and personal communication identified farther surgery rates at 2 years after each procedure.
RESULTS: Among the original 263 women who underwent endometrial ablation, 24 (95%) returned questionnaires at 2 years. Menstrual status in both groups was similar, although the amenorrhea rate was higher after microwave endometrial ablation. Seventy-nine percent of women were either completely or generally satisfied after microwave ablation compared with 67% after transcervical endometrial resection. Health-related quality-of-life scores remained higher than at recruitment for both treatments. Hysterectomy rates were similar at 2 years (11.6% after microwave endometrial ablation and 12.7% after transcervical endometrial resection), and no repeat endometrial ablative procedures were required.
CONCLUSION: Microwave endometrial ablation is an effective alternative to transcervical endometrial resection for dysfunctional uterine bleeding. (Obstet Gynecol 2002;99: 983-7. (C) 2002 by the American College of Obstetricians and Gynecologists).
Original language | English |
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Pages (from-to) | 983-987 |
Number of pages | 4 |
Journal | Obstetrics & Gynecology |
Volume | 99 |
Issue number | 6 |
DOIs | |
Publication status | Published - 2002 |
Keywords
- HEALTH SURVEY QUESTIONNAIRE
- HEAVY MENSTRUAL LOSS
- QUALITY-OF-LIFE
- ABDOMINAL HYSTERECTOMY
- LASER-ABLATION
- SURVEY SF-36
- MENORRHAGIA
- MULTICENTER
- MANAGEMENT
- OUTCOMES