Endometrial ablation for intractable uterine bleeding: Hysteroscopic resection

ABSTRACT

Poorly controlled menorrhagia is the first indication for hysterectomy. Recently, endometrial destruction by surgical diathermy, is advocated as simpler and less invasive surgical approach for treatment of this problem. Twenty patients were treated with hysteroscopic trans-cervical resection of the endometrium with urological resectoscope. Surgery was completed successfully in all cases. No significant postoperative complications occurred. Follow-up for one year showed that 2 women became amenorrheic, 14 women became hypooligomenorrheic, 2 patients needed re- ablation because of the frequent moderate amount of bleeding, lastly, 2 cases were subjected to abdominal hysterectomy because of the persistence of excessive bleeding. Selective endometrial destruction can be a safe alternative to hysterectomy