Depth of endometrial penetration in adenomyosis helps determine outcome of rollerball ablation

McCausland, Arthur M.; McCausland, Vance M.

doi:10.1016/s0002-9378(96)70211-9

Cited by 104 publications

(42 citation statements)

References 4 publications

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“…When deep adenomyosis was present, the outcome of the treatment was poor, and it was proposed that hysterectomy be considered instead [21]. This is in accordance with out limited experience in the present study.…”

Section: Discussionsupporting

confidence: 89%

Endometrial Thermal Coagulation – Degree of Uterine Fibrosis Predicts Treatment Outcome

Friberg

Joergensen

Åhlgren

1998

Gynecol Obstet Invest

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Objective: To study the uterine cavity after thermal endometrial destruction for the treatment of menorrhagia by means of a balloon catheter, the Cavaterm^TM system. To relate the appearance of the uterine cavity to the outcome of the treatment. Methods: Fifty-one of the first 60 women treated with balloon endometrial destruction were examined with hysteroscopy and saline infusion sonography 11–28 months after treatment. Results: Patients with minimal or no bleeding after thermal endometrial destruction had more uterine fibrosis than patients bleeding more. Conclusion: The greater the degree of fibrosis of the uterine cavity after balloon endometrial destruction by thermal coagulation, the better the effect on menorrhagia.

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Section: Discussionsupporting

confidence: 89%

Endometrial Thermal Coagulation – Degree of Uterine Fibrosis Predicts Treatment Outcome

Friberg

Joergensen

Åhlgren

1998

Gynecol Obstet Invest

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“…However as the ectopic endometrium penetrates further into the myometrium there is less complete destruction of the tissue. 83 They also found that patients with post-ablation bleeding responded well to treatment with progesterone if they had superficial adenomyosis, however progesterone therapy was often ineffective in patients with deep adneomyosis. 83 El Nashar et al 84 completed a retrospective study of 816 women who had a global endometrial procedure with either a thermal balloon ablation or radio frequency ablation.…”

Section: Vii2a Endometrial Ablation and Hysteroscopic Resectionmentioning

confidence: 99%

Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition

Struble

Reid

Bedaiwy

2016

Journal of Minimally Invasive Gynecology

248

225

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“…Co-existing conditions that may account for the patient's symptomatology must be excluded at the time of imaging. Determining the depth of myometrial penetration is also important for treatment planning, since superficial adenomyosis responds significantly better to endometrial ablation than the deep form (Siegler and Camilien, 1994;McCausland and McCausland, 1996). Third, for patients receiving conservative therapy, the evolution of the disease must be monitored with imaging.…”

Section: Introductionmentioning

confidence: 99%