FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 335:151-156 July 18, 1996 Number 3 Next

	Full Text PDF Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

ABSTRACT

Background Endometrial resection is an alternative to hysterectomy in the treatment of women with menorrhagia, but it may not control the condition. We sought to evaluate the effectiveness of such resection.

Methods We followed 525 consecutive women (mean age at initial surgery, 42 years) for up to five years after endometrial resection. The women were examined 6 to 12 weeks after the operation and were then sent yearly questionnaires seeking information about their condition. The mean duration of follow-up was 31 months. Thirty-seven women (86 percent of the 43 women available for five years of follow-up) were followed for the entire period.

Results Endometrial resection was completed successfully in 95 percent of the women, with operative complications in 6 percent. Forty-eight women underwent subsequent resection. The yearly questionnaires indicated that 85 to 100 percent of the women (depending on the year of follow-up) had adequately controlled menorrhagia, 26 to 40 percent had amenorrhea, 71 to 80 percent reported either a lessening of menstrual pain or no pain, and 79 to 87 percent were satisfied with the results of their surgery. No further surgery was needed by 80 percent of the women, and only 9 percent underwent hysterectomy during the five years of follow-up, with 98 percent of those operations being performed in the first three postoperative years.

Conclusions Endometrial resection is an effective alternative to hysterectomy in women with menorrhagia.

Source Information

From the Minimally Invasive Therapy Unit and the Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, Royal Free Hospital, Pond St., Hampstead, London NW3 2QG, United Kingdom, where reprint requests should be addressed to Dr. Magos.

Full Text of this Article

This article has been cited by other articles:

• Rauramo, I., Elo, I., Istre, O. (2004). Long-Term Treatment of Menorrhagia With Levonorgestrel Intrauterine System Versus Endometrial Resection. Obstet Gynecol 104: 1314-1321 [Abstract] [Full Text]  
• Amso, N. N., Fernandez, H., Vilos, G., Fortin, C., McFaul, P., Schaffer, M., Van der Heijden, P.F.M., Bongers, M. Y., Sanders, B., Blanc, B. (2003). Uterine endometrial thermal balloon therapy for the treatment of menorrhagia: long-term multicentre follow-up study. Hum Reprod 18: 1082-1087 [Abstract] [Full Text]  
• Mall, A., Shirk, G., Van Voorhis, B. J. (2002). Previous Tubal Ligation Is a Risk Factor for Hysterectomy After Rollerball Endometrial Ablation. Obstet Gynecol 100: 659-664 [Abstract] [Full Text]  
• Dutton, C., Ackerson, L., Phelps-Sandall, B. (2001). Outcomes After Rollerball Endometrial Ablation for Menorrhagia. Obstet Gynecol 98: 35-39 [Abstract] [Full Text]  
• Scott, P., Magos, A., Preutthipan, S., Herabutya, Y. (2001). VAGINAL MISOPROSTOL FOR CERVICAL PRIMING BEFORE OPERATIVE HYSTEROSCOPY: A RANDOMIZED CONTROLLED TRIAL. Obstet Gynecol 97: 640-641 [Full Text]  
• Rai, V.S., Gillmer, M.D.G., Gray, W. (2000). Is endometrial pre-treatment of value in improving the outcome of transcervical resection of the endometrium?. Hum Reprod 15: 1989-1992 [Abstract] [Full Text]  
• JANSEN, F. W., VREDEVOOGD, C. B., VAN ULZEN, K., HERMANS, J., TRIMBOS, J. B., TRIMBOS-KEMPER, T. C. M. (2000). Complications of Hysteroscopy: A Prospective, Multicenter Study. Obstet Gynecol 96: 266-270 [Abstract] [Full Text]  
• TEIRNEY, R., ARACHCHI, G. J., FRASER, I. S. (2000). Menstrual Blood Loss Measured 5-6 Years After Endometrial Ablation. Obstet Gynecol 95: 251-254 [Abstract] [Full Text]  
• Tulandi, T. (1999). Microwaves: from the kitchen to the operating theatre. CMAJ 161: 1132-1132 [Full Text]  
• Gervaise, A., Fernandez, H., Capella-Allouc, S., Taylor, S., Vieille, S.L., Hamou, J., Gomel, V. (1999). Thermal balloon ablation versus endometrial resection for the treatment of abnormal uterine bleeding. Hum Reprod 14: 2743-2747 [Abstract] [Full Text]  
• VERCELLINI, P., OLDANI, S., YAYLAYAN, L., ZAINA, B., DE GIORGI, O., CROSIGNANI, P. G. (1999). Randomized Comparison of Vaporizing Electrode and Cutting Loop for Endometrial Ablation. Obstet Gynecol 94: 521-527 [Abstract] [Full Text]  
• Kelleher, C., Braude, P. (1999). Recent advances: Gynaecology. BMJ 319: 689-692 [Full Text]  
• EMANUEL, M. H., WAMSTEKER, K., HART, A. A. M., METZ, G., LAMMES, F. B. (1999). Long-term Results of Hysteroscopic Myomectomy for Abnormal Uterine Bleeding. Obstet Gynecol 93: 743-748 [Abstract] [Full Text]  
• (1996). Endometrial Resection for Menorrhagia. JWatch Women's Health 1996: 1-1 [Full Text]  
• (1996). ENDOMETRIAL RESECTION FOR MENORRHAGIA. JWatch General 1996: 6-6 [Full Text]  
• Carlson, K. J., Schiff, I. (1996). Alternatives to Hysterectomy for Menorrhagia. NEJM 335: 198-199 [Full Text]