Pathologic characteristics of hysterectomy specimens in women undergoing hysterectomy after global endometrial ablation.

Abstract

STUDY OBJECTIVE:

To describe uterine pathologic features in women who underwent hysterectomy because of failed global endometrial ablation (GEA).

DESIGN:

Retrospective cohort study from 1998 through 2005 (Canadian Task Force classification III).

SETTING:

Tertiary referral center.

PATIENTS:

Sixty-nine women who underwent hysterectomy because of GEA failure.

INTERVENTIONS:

Pathology reports were available for 67 patients. Descriptions of hysterectomy specimens after GEA were reviewed.

MEASUREMENTS AND MAIN RESULTS:

Rates of pathologic findings in hysterectomy specimens after failed GEA were determined. Reasons for hysterectomy in the 67 patients with available pathology reports were bleeding in 34 (51%), pain in 19 (28%), and bleeding and pain in 14 (21%). The pathology reports of these specimens showed leiomyomas in 33 specimens (49%); intramural myomas were present in 15 women (44%) who underwent hysterectomy because of bleeding and 8 women (42%) who underwent hysterectomy because of pain. Hematometra was identified in 7 pathologic specimens (10%). Specifically, hematometra was identified in specimens from 5 of 19 women who underwent hysterectomy because of pain (26%).

CONCLUSION:

Hematometra was a significant finding in women who underwent hysterectomy because of persistent pain after GEA. A possible pathologic predictor of GEA failure may be intramural leiomyomas.

• Authors: Erin T Carey, Sherif A El-Nashar, Matthew R Hopkins, Douglas J Creedon, William A Cliby, Abimbola O Famuyide
• Journal: Journal of minimally invasive gynecology (J Minim Invasive Gynecol) 2011 Jan-Feb Vol. 18 Issue 1 Pg. 96-9 ISSN: 1553-4669 [Electronic] United States
• PMID: 21195959 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 AAGL. Published by Elsevier Inc. All rights reserved.

Topics

• Adult
• Endometrial Ablation Techniques (adverse effects)
• Female
• Hematometra (etiology, pathology)
• Humans
• Hysterectomy
• Menorrhagia (surgery)
• Middle Aged
• Retrospective Studies
• Treatment Outcome