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Obstet Gynecol. 2002 Jun;99(6):983-7.

Microwave endometrial ablation versus endometrial resection: a randomized controlled trial.

Author information

  • 1Department of Obstetrics and Gynaecology, Aberdeen Royal Infirmary, Scotland, Aberdeen, UK. bainhouse@supanet.com

Abstract

OBJECTIVE:

To compare menstrual status, satisfaction, and acceptability of microwave endometrial ablation with transcervical endometrial resection for the treatment of heavy menstrual bleeding.

METHODS:

Women were randomized to either endometrial ablative method. Menstrual status, satisfaction, acceptability, and changes in health-related quality of life were obtained by a self-completed questionnaire. Case note review and personal communication identified further surgery rates at 2 years after each procedure.

RESULTS:

Among the original 263 women who underwent endometrial ablation, 249 (95%) returned questionnaires at 2 years. Menstrual status in both groups was similar, although the amenorrhea rate was higher after microwave endometrial ablation. Seventy-nine percent of women were either completely or generally satisfied after microwave ablation compared with 67% after transcervical endometrial resection. Health-related quality-of-life scores remained higher than at recruitment for both treatments. Hysterectomy rates were similar at 2 years (11.6% after microwave endometrial ablation and 12.7% after transcervical endometrial resection), and no repeat endometrial ablative procedures were required.

CONCLUSION:

Microwave endometrial ablation is an effective alternative to transcervical endometrial resection for dysfunctional uterine bleeding.

Comment in

PMID:
12052586
[PubMed - indexed for MEDLINE]
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