HOMEPRODUCTSSERVICESCOMPANYCONTACTFAQResearchDictionaryPharmaMobileSign Up FREE or Login

Bipolar radiofrequency endometrial ablation compared with hydrothermablation for dysfunctional uterine bleeding: a randomized controlled trial.

AbstractOBJECTIVE:
To compare the effectiveness of two second-generation ablation techniques, bipolar radiofrequency impedance-controlled endometrial ablation and hydrothermablation, in the treatment of menorrhagia.
METHODS:
This study was a double-blind, randomized controlled trial, which took place in a large teaching hospital in The Netherlands with 500 beds. Women with menorrhagia were randomly allocated to bipolar radiofrequency ablation (bipolar group) and hydrothermablation (hydrotherm group). At follow-up, both women and observers remained unaware of the type of treatment that had been performed. The primary outcome was amenorrhea. Secondary outcome measures were patient satisfaction and reintervention.
RESULTS:
We included 160 women in the study, of which 82 were allocated to the bipolar group and 78 to the hydrotherm group. No complications occurred in either of the treatment groups. After 12 months, 87% (65 of 75) of the patients in the bipolar group were completely satisfied with the result of the treatment compared with 68% (48 of 71) in the hydrotherm group (relative risk 1.3, 95% confidence interval [CI] 1.03-1.6). The amenorrhea rates were 47% (35 of 75) in the bipolar group and 24% (17 of 71) in the hydrotherm group (relative risk 2.0, 95% CI 1.2-3.1). The relative risks for a reintervention in the bipolar group compared with the hydrotherm group was 0.29 (95% CI 0.12-0.67), whereas for hysterectomy, this was 0.49 (95% CI 0.15-1.5).
CONCLUSION:
In the treatment of menorrhagia, bipolar radiofrequency endometrial ablation system is superior to hydrothermablation.
CLINICAL TRIAL REGISTRATION:
ISRCTN Register, www.isrctn.org, ISRCTN23845359.
LEVEL OF EVIDENCE:
I.
AuthorsJosien P M Penninx, Ben Willem Mol, Ruben Engels, Minouche M E van Rumste, Channa Kleijn, Carolien A M Koks, Roy F P M Kruitwagen, Marlies Y Bongers
JournalObstetrics and gynecology (Obstet Gynecol) Vol. 116 Issue 4 Pg. 819-26 (Oct 2010) ISSN: 1873-233X [Electronic] United States
PMID20859144 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
Chemical References
  • Sodium Chloride
Topics
  • Adult
  • Catheter Ablation (methods)
  • Double-Blind Method
  • Female
  • Humans
  • Hysterectomy
  • Hysteroscopy
  • Intention to Treat Analysis
  • Menorrhagia (surgery)
  • Metrorrhagia (surgery)
  • Middle Aged
  • Patient Satisfaction
  • Sodium Chloride
  • Treatment Outcome
  • Uterus (ultrasonography)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research network!


Choose Username:
Email:
Password:
Verify Password: