Medium-term follow-up of women with menorrhagia treated by rollerball endometrial ablation.

Abstract

BACKGROUND:

To assess medium-term efficacy of rollerball endometrial ablation in a district general hospital.

METHOD:

From March 1992 to June 1997, 91 women underwent rollerball endometrial ablation for uncontrolled menorrhagia unresponsive to medical treatment. Each was sent a detailed questionnaire after at least 18 months (range 18-55). There was an overall response rate of 88% (80/91). Case notes were reviewed to collect additional data related to pre-operative management and actual operative procedure. The main outcome measures included treatment satisfaction, relief of symptoms, improvement in health related quality of life, at least 18 months after surgery.

RESULTS:

Thirty-five of the 80 women (44%) had achieved amenorrhea. Ten women required further treatment; of these seven had a hysterectomy (9%). None of the non-responders had a hysterectomy. Following rollerball endometrial ablation, many women reported improvement in cyclical pelvic pain (73%), pre-menstrual symptoms (65%), ability to do housework (85%), and an improved sexual life (96%). Seventy-nine (99%) women were able to return to normal work within 4 weeks following surgery. The majority of them remained satisfied with treatment (79%) and they would recommend it to a friend (91%).

CONCLUSIONS:

Rollerball endometrial ablation is a simple, effective, and acceptable procedure for the treatment of menorrhagia in selected cases. Longer-term follow up is still needed to establish the ultimate effectiveness of the procedure.

• Authors: G S el Senoun, H A Mousa, T A Mahmood
• Journal: Acta obstetricia et gynecologica Scandinavica (Acta Obstet Gynecol Scand) Vol. 79 Issue 10 Pg. 879-83 (Oct 2000) ISSN: 0001-6349 [Print] United States
• PMID: 11304973 (Publication Type: Evaluation Study, Journal Article)

Chemical References

• Antineoplastic Agents, Hormonal
• Estrogen Antagonists
• Goserelin
• Amoxicillin-Potassium Clavulanate Combination
• Danazol

Topics

• Adolescent
• Adult
• Amoxicillin-Potassium Clavulanate Combination (administration & dosage)
• Antineoplastic Agents, Hormonal (administration & dosage)
• Danazol (administration & dosage)
• Endometrium (pathology, surgery)
• Estrogen Antagonists (administration & dosage)
• Female
• Follow-Up Studies
• Goserelin (administration & dosage)
• Humans
• Menorrhagia (surgery)
• Middle Aged
• Patient Satisfaction
• Quality of Life
• Surveys and Questionnaires