Abstract | OBJECTIVE: To evaluate the results of a previous study comparing bipolar radiofrequency endometrial ablation with hydrothermablation for the treatment of menorrhagia at 5-year follow-up. METHOD: A double-blind, randomized, controlled trial was performed in a large teaching hospital in the Netherlands between March 2005 and August 2007. One-hundred sixty women with menorrhagia were randomly allocated to bipolar ablation or hydrothermablation. The results of follow-up at 12 months were previously reported. At 4-5 years of follow-up, a questionnaire was sent to all the participants to register amenorrhea rates, reinterventions, and patient satisfaction. RESULTS: At 5-year follow-up, response rates were 90% and 83% in the bipolar group and hydrotherm group, respectively. Amenorrhea rates were 55.4% and 35.3% in the bipolar group and the hydrotherm group, respectively (relative risk [RR] 1.5, 95% confidence interval [CI] 1.05-2.3). The number of surgical reinterventions was 11 compared with 23 (RR 0.43, 95% CI 0.23-0.80). Overall, more women were satisfied in the bipolar group compared with the hydrotherm group. CONCLUSION: LEVEL OF EVIDENCE: II.
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Authors | Josien P M Penninx, Malou C Herman, Ben W Mol, Marlies Y Bongers |
Journal | Obstetrics and gynecology
(Obstet Gynecol)
Vol. 118
Issue 6
Pg. 1287-1292
(Dec 2011)
ISSN: 1873-233X [Electronic] United States |
PMID | 22105257
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Topics |
- Adult
- Endometrial Ablation Techniques
- Female
- Follow-Up Studies
- Humans
- Menorrhagia
(surgery)
- Middle Aged
- Patient Satisfaction
(statistics & numerical data)
- Reoperation
(statistics & numerical data)
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