COMPARATIVE STUDY OF HYSTEROSCOPIC ENDOMETRIAL RESECTION VERSUS THERMACHOICE BALLOON ABLATION IN PERIMENOPAUSAL DYSFUNCTIONAL UTERINE BLEEDING | ||||
| The Egyptian Journal of Fertility of Sterility | ||||
| Article 7, Volume 12, Issue 1, January 2008, Page 53-62 PDF (2.81 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2008.4874 | ||||
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| Authors | ||||
| El-Gkarib MN1; Shawki OA2; Balaha MH3; Aglaan DM3 | ||||
| 1From Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta and Cairo Universities, Egypt | ||||
| 2From Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta and Cairo Universities, Egypt | ||||
| 3From Departments of Obstetrics & Gynaecology, Faculty of Medicine, Tanta and * Cairo Universities, Egypt | ||||
| Abstract | ||||
| Objectives : To evaluate the effects and sequelae of transccrvical resection of the endomctrium (TCRE) and thermachoice balloon ablation in the management of perimenopausal dysfunctional uterine bleeding. Design: Prospective study. Setting : Tanta and Cairo University Hospitals. Patients : The study included 70 women complaining of primenopausal dysfunctional uterine bleeding. Intervention: Women were randomized to cither treatment with the cndomelrial resection or thermal balloon ablation and followed up for 6 months. Outcome measures: Evaluation of treatment efficacy was done by a scoring system. Quantification of the quality of life aspects was done via a special questionnaire. Results: The present study revealed that hysteroscopic resection of the endomctrium takes an average time of 34.2±10.52 minutes. Regarding the operative and postoperative complications, one patient had perforation, another case developed postoperative hematometra and a third case had persistent excessive bleeding. Blood haemoglobin and scrum ferritin increased significantly within 6 months after the operation. The operation resulted in a reduction in bleeding score at 3, 6 nd 12 months respectively. About 81% of women felt very satisfied and satisfied within one year. Thermachoice balloon ablation takes an average of 12.4+4.32 minutes. Operative and postoperative complications, pregnancy occurred in one case 3 months after the procedure. Blood haemoglobin and serum ferritin increased significantly wihin 6 months after the procedure. The procedure reduced bleeding score at 3, 6 and 12 months respectively. Whithin one year after the procedure, 80% of patients felt very satisfied and and satisfied were 80%. Conclusion: Hysteroscopic endometrial ablation and thermachoice balloon ablation arc both effective in women with dysfunctional uterine bleeding especially in patients who complete their families and desire to retain their uteri. | ||||
| Keywords | ||||
| Hysteroscopy; endometrial resection; thermachoice balloon ablation and dysfunctional uterine bleeding | ||||
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