Evaluation of transcervical resection of the endometrium [TCRE] as a treatment option for repractory dysefunctional uterine bleeding

ABSTRACT

Evaluation of transcervical resection of the endometrium [TCRE] by electrosurgical means as a treatment option for cases of refractory recurrent dysfunctional uterine bleeding [DUB]. 30 cases of refractory recurrent DUB underwent TCRE. Their ages ranged between 37 and 45 years. Dilatation and curettage was performed for all cases one week before TCRE to make the endonietriurn thin facilitating its resection. Transvaginal sonography [TVS] was performed pre and postoperatively to measure the dimensions of the uterus and endometrial thickness. The menstrual pattern has been improved in 86.2% of cases of DUB. There was a significant reduction in endometrial thickness as well anteroposterior and transverse diameters of the uterus in the improved cases [amenorrhea, hypomenorrhea or average menstrual flow]. There was a non significant reduction of endometrial thickness and uterine dimensions in non improved cases [unchanged menstrual pattern]. Hysteroscopic TCRE is an effective and valuable procedure for treatment of refractory DUB