Retrospective analysis of 305 consecutive cases of endometrial ablation and partial endomyometrial resection

The safety and efficacy of MenoTreatTM, a new balloon device for thermal endometrial ablation

“…The success rate for treatment of menorrhagia depends on the definition of success, which can vary from subjective impressions expressed by the patient to objective measurements of the changes in blood loss. The success rate found in the literature varies between 78–80% (8, 15), 85% (12) and 97% improvement and 55% amenorrhea (10). In the present study the evaluation of success rate was based on a validated pictogram technique and was defined as a reduction in bleeding score by 50% or more for at least 80% of the patients.…”

“…hormones and antifibrinolytic treatment (2, 5, 6). Surgical treatments such as hysterectomy (7, 8), ablation of the endometrium (9–16), cryotherapy (17) and destruction of the endometrium by microwave techniques have also been used (18).…”

Endometrial Ablation: Where Have We Been? Where Are We Going?

“…63 The presence of adenomyosis has also been associated with an increased risk of REA failure 65 and has been found in up to 75% of post-EA hysterectomy specimens. 66 There is some evidence that with increasing depth of resection and ablation, the failure rate with deep hysteroscopic resection drops to as low as 5%, a result that may reflect more complete removal of adenomyosis. 67 Although failures may be higher in women with larger uteri and correspondingly larger endometrial cavities at least in experienced and able hands, success rates in uteri greater than 12 gestational weeks size may be equivalent to that of women with smaller sized uteri.…”