[Evaluation of endometrectomy by radiofrequency for premenopausal women: a retrospective study].

Abstract

OBJECTIVE:

In present study, we are assessing the efficiency of endometrial ablation by radiofrequency (Novasure(®)) for the treatment of abnormal uterine bleeding.

MATERIAL AND METHODS:

A total of 90 patients underwent an endometrial ablation by radiofrequency for uterine bleeding between 2009 and 2012. For the postoperative follow-up, symptoms amelioration and eventual adverse-events were evaluated by a self-administered questionnaire given to all patients after the surgery.

RESULT:

Sixty-five patients (74%) responded to the questionnaire with an average of 17.5 months. Among them, endometrial bleeding decreased in 92% of the cases (IC 95%; 86-99). The amenorrhea rate was 55% (IC 95%; 43-67) and 36% of the patients presented a diminution of menstrual bleeding after treatment. Thirty-two patients (36%) presented dysmenorrhea before the radiofrequency and 78% of them experienced an amelioration of the symptoms after treatment (IC 95%; 64-93). In 19 patients (21%), the cause of uterine bleeding was adenomyosis, among them, bleeding decreased in 84% of the cases (IC 95%; 71-98) and dysmenorrhea in 70%. (IC 95%; 41-97). Finally, 84% of the patients were satisfied with the result of the treatment.

CONCLUSION:

Our findings suggest that endometrial radiofrequency is effective for the treatment of menometrorrhagia, dysmenorrhea and also adenomyosis.

• Authors: L Maillet, P de Saint-Hilaire, R-C Rudigoz, G Dubernard
• Journal: Journal de gynecologie, obstetrique et biologie de la reproduction (J Gynecol Obstet Biol Reprod (Paris)) Vol. 42 Issue 5 Pg. 458-63 (Sep 2013) ISSN: 1773-0430 [Electronic] France
• Vernacular Title: Évaluation de l'endométrectomie par radiofréquence chez les femmes préménopausiques : étude rétrospective sur 90 cas.
• PMID: 23790970 (Publication Type: Evaluation Study, Journal Article)
• Copyright: Copyright © 2013 Elsevier Masson SAS. All rights reserved.

Topics

• Catheter Ablation (adverse effects, methods)
• Cesarean Section (statistics & numerical data)
• Endometrial Ablation Techniques (methods)
• Female
• Humans
• Metrorrhagia (epidemiology, surgery)
• Middle Aged
• Parity
• Postoperative Complications (epidemiology)
• Pregnancy
• Premenopause
• Retrospective Studies
• Treatment Outcome