Endometrial thermal balloon ablation has a beneficial long‐term effect on menorrhagia

Ahonkallio, Sari; Martikainen, Hannu; Santala, Markku

doi:10.1080/00016340701797823

Cited by 14 publications

(9 citation statements)

References 18 publications

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“…This is similar to world literature which quotes a hysterectomy rate of 16% Ahonkalio[4] 21% Longinotti[6] 12.9% Kleijn[7] and 9% Hazard D.[8]…”

Section: Discussionsupporting

confidence: 88%

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Thermal balloon endometrial ablation in dysfunctional uterine bleeding

Pai¹

2009

J Gynec Endosc Surg

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Introduction:Dysfunctional uterine bleeding (DUB) affects a large number of women in the reproductive and perimenopausal age group. It significantly impairs the quality of life in otherwise healthy women. There are many different techniques for the conservative management of DUB. Medical management, LNG-IUD, hysteroscopic resection and various global ablation techniques.Materials and Methods:We did a retrospective analysis of 156 women with dysfunctional uterine bleeding who had completed childbearing and who underwent uterine balloon ablation therapy using the Thermachoice device. Majority of the women (72%) were done using short general anesthesia while in the others sedation or local anesthesia was used.Results:49% women had amenorrhea while 41 % had oligomenorhoea or eumenorrhoea. 90% were satisfied with the procedure. There were no major complications during this study.Conclusions:Thermal balloon endometrial ablation is a simple, safe and effective technique for the permanent treatment of DUB in well selected cases.

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“…This is similar to world literature which quotes a hysterectomy rate of 16% Ahonkalio[4] 21% Longinotti[6] 12.9% Kleijn[7] and 9% Hazard D.[8]…”

Section: Discussionsupporting

confidence: 88%

“…In a retrospective study of six years of TBEA by Ahonkallio,[4] 76% of 152 women analyzed were satisfied with the procedure. 14% had amenorrhea while 54% had eumenorrhoea.…”

Section: Discussionmentioning

confidence: 99%

Thermal balloon endometrial ablation in dysfunctional uterine bleeding

Pai¹

2009

J Gynec Endosc Surg

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“…The success rate of the present study (88.5%) was comparable with other studies which have used this method for destroying the endometrium [14][15][16][17][18][19][20][21][22][23][24][25] (Table 3). Also, our results indicated a higher rate of success in comparison to to other methods for the ablation of the endometrium [9,10,26,29,30].…”

Section: Discussionsupporting

confidence: 79%

“…Therefore, this method is simple to use and no specific surgical skills are required with the only important condition for its success being proper patients selection [27][28][29][30][31].Also, the recovery period have been reported to be shorter than in the case of hysterectomy. Consecutively, the satisfaction rate from TBEA has been high [15,18,19,21,26 ]. The main limitation of the present study was the small number of patients compared to similar studies.At present, the TBEA procedure is not very popular in Iran and for this reason its efficacy was unknown among our practitioners, which explains why the sample size was small and the duration of follow-up was relatively short.…”

Section: Discussionmentioning

confidence: 72%

Thermal Balloon Ablation for Dysfunctional Uterine Bleeding among Iranian Patients

Ashrafganjoei¹,

Bouzari²,

Farzaneh³

et al. 2016

J Res Med Den Sci

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Objective: dysfunctional uterine bleeding is a common gynecological condition which affects about 20-30% of premenopausal women. When medical treatments fail to provide adequate relief, surgical interventions, including hysterectomy or destruction of the endometrium, might be considered. The aim of the present study was to determine the menstrual outcomes and the satisfaction level, after thermal balloon endometrial ablation to treat this condition among Iranian patients. Design classification: A single-arm prospective study. Setting: University teaching hospital. patients:52 patients with dysfunctional uterine bleeding. Intervention: Patients underwent endometrial ablation using Cavaterm plus and were fallowed up for 12 months, Post operatively. Measurements: The pictorial blood loss assessment chart score of menstrual cycle, number of days in the cycle, degree of dysmenorrhea, satisfaction from treatment and any complication of treatment were assessed. Main results: Eighty-eight percent of patients responded to treatment; the mean number of days of bleeding per month decreased from a mean of 13.6 to 4days (p<0.001) and the mean amount of bleeding decreased from 535.4 to 38.6 in pictorial blood loss assessment chart (p<0/001). Also 45% of patients became amenorrheic after one year fallow up and 88% were satisfied with their treatment. Conclusions: Thermal balloon endometrial ablation among our patients showed a similar outcome to previous reported studies. It seems that this method represents an excellent alternative to hysterectomy, with high rate of success, a very low complications rate and high patients satisfaction.

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“…There are several methods available to achieve ablation of the endometrium, including laser, resectoscope, roller ball, thermal balloon, hydro‐ablation, microwave energy and cryotherapy. The results are all broadly similar, with success rates of around 80% …”

Section: Introductionmentioning

confidence: 52%