Five-year follow-up of levonorgestrel-releasing intrauterine system versus thermal balloon ablation for the treatment of heavy menstrual bleeding: a randomized controlled trial

Silva-Filho, Agnaldo L.; Pereira, Francisco de Assis Nunes; Souza, Sérgio S. de; Loures, Luciano Fernandes; Rocha, Ana Paula; Valadares, Carolina Nazareth; Carneiro, Márcia Mendonça; Tavares, Ricardo; Camargos, Aroldo F.

doi:10.1016/j.contraception.2012.11.004

Cited by 23 publications

(10 citation statements)

References 19 publications

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“…The success rate of the present study (88.5%) was comparable with other studies which have used this method for destroying the endometrium [14][15][16][17][18][19][20][21][22][23][24][25] (Table 3). Also, our results indicated a higher rate of success in comparison to to other methods for the ablation of the endometrium [9,10,26,29,30].…”

Section: Discussionsupporting

confidence: 79%

Thermal Balloon Ablation for Dysfunctional Uterine Bleeding among Iranian Patients

Ashrafganjoei¹,

Bouzari²,

Farzaneh³

et al. 2016

J Res Med Den Sci

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Objective: dysfunctional uterine bleeding is a common gynecological condition which affects about 20-30% of premenopausal women. When medical treatments fail to provide adequate relief, surgical interventions, including hysterectomy or destruction of the endometrium, might be considered. The aim of the present study was to determine the menstrual outcomes and the satisfaction level, after thermal balloon endometrial ablation to treat this condition among Iranian patients. Design classification: A single-arm prospective study. Setting: University teaching hospital. patients:52 patients with dysfunctional uterine bleeding. Intervention: Patients underwent endometrial ablation using Cavaterm plus and were fallowed up for 12 months, Post operatively. Measurements: The pictorial blood loss assessment chart score of menstrual cycle, number of days in the cycle, degree of dysmenorrhea, satisfaction from treatment and any complication of treatment were assessed. Main results: Eighty-eight percent of patients responded to treatment; the mean number of days of bleeding per month decreased from a mean of 13.6 to 4days (p<0.001) and the mean amount of bleeding decreased from 535.4 to 38.6 in pictorial blood loss assessment chart (p<0/001). Also 45% of patients became amenorrheic after one year fallow up and 88% were satisfied with their treatment. Conclusions: Thermal balloon endometrial ablation among our patients showed a similar outcome to previous reported studies. It seems that this method represents an excellent alternative to hysterectomy, with high rate of success, a very low complications rate and high patients satisfaction.

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Section: Discussionsupporting

confidence: 79%

Thermal Balloon Ablation for Dysfunctional Uterine Bleeding among Iranian Patients

Ashrafganjoei¹,

Bouzari²,

Farzaneh³

et al. 2016

J Res Med Den Sci

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“…[28] It reported that women treated with TBA had higher rates of hysterectomy (24%) due to treatment failure compared to the LNG-IUS group (3.7%). According to the study LNG-IUS use resulted in higher mean hemoglobin levels in comparison to the TBA group.…”

Section: Introductionmentioning

confidence: 99%

Levonorgestrel intrauterine system: Current role in management of heavy menstrual bleeding

et al. 2013

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A review of literature was conducted to report on the effectiveness of levonorgestrel intrauterine system (LNG-IUS) in women with heavy menstrual bleeding (HMB). The relevant data were obtained by computerized searches of PubMed up to December 2012 and other references available with the authors. Information was obtained from references listed. Studies and case reports were excluded if they did not specifically provide information about LNG-IUS usage in women with HMB. After perusal, each relevant publication was summarized and appraised in terms of whether it contained information relevant to the stated objective. Available data shows that LNG-IUS therapy is effective and safe, providing significant reduction of menstrual bleeding in patients with HMB. LNG-IUS is a good strategy to reduce the number of hysterectomies in women with HMB.

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“…). One study did not include data of interest and six compared thermal balloon ablation with other surgical techniques. Therefore, six studies, involving 901 patients, were included in the present meta‐analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies 26,28 reported data for dysmenorrhea rate. The dysmenorrhea rate after 3, 6, and 12 months in the bipolar radiofrequency group was 23 endometrial ablation and thermal balloon ablation ( Fig. 4).…”

Section: Dysmenorrhea Ratementioning

confidence: 93%

Meta‐analysis of bipolar radiofrequency endometrial ablation versus thermal balloon endometrial ablation for the treatment of heavy menstrual bleeding

Zhai

Zhang

Wang

et al. 2017

Intl J Gynecology & Obste

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Five-year follow-up of levonorgestrel-releasing intrauterine system versus thermal balloon ablation for the treatment of heavy menstrual bleeding: a randomized controlled trial

Cited by 23 publications

References 19 publications

Thermal Balloon Ablation for Dysfunctional Uterine Bleeding among Iranian Patients

Thermal Balloon Ablation for Dysfunctional Uterine Bleeding among Iranian Patients

Levonorgestrel intrauterine system: Current role in management of heavy menstrual bleeding

Meta‐analysis of bipolar radiofrequency endometrial ablation versus thermal balloon endometrial ablation for the treatment of heavy menstrual bleeding

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