Transcervical endometrial resection for menorrhagia: a review of 117 consecutive cases

ABSTRACT

A retrospective audit of 117 patients was undertaken in the Department if Gynaecology at City General Hospital, Stoke-on-Trent, U.K. to assess the efficacy of transcervical resection of endometrium [TCRE] in women presenting with menstrual disorders. Patient satisfaction with the procedure was noted at 3, 6, 12 months. A total of 117 TCRE were performed. Three were abandoned in favour of hysterectomy due to major operative complications [2 for perforation of uterus and 1 for uncontrollable bleeding]. Three patients [2.6%] with primary haemorrhage were controlled by tamponade. Glycine toxicity was noted. Of 82 patients followed up for 6 months, 67 [81.7%] had oligomenorrhea or amenorrhoea while among 35 patients followed up for 12 months, 33 [94%] had oligomenorrhea and amenorrhoea. TCRE is a relatively new technique which represents an advance in the management of menstrual problems. Careful audit of results with long term follow up will determine the exact place of this technique in Gynaecology