A randomised trial of endometrial ablation <i>versus</i> hysterectomy for the treatment of dysfunctional uterine bleeding: outcome at four years

Sinha, Anita

doi:10.1111/j.1471-0528.1999.tb08452.x

Cited by 12 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hysterectomy provides permanent relief from HMB in contrast to uterine sparing surgery such as endometrial ablation where up to 38% required further treatment because of ongoing excessive bleeding [43,44]. The effectiveness of hysterectomy in alleviating HMB translates into high satisfaction rates which are generally around 95% up to 3 years following surgery [44–46].…”

Section: Discussionmentioning

confidence: 99%

Hysterectomy for Heavy Menstrual Bleeding

Meij

Emanuel

2016

Womens Health (Lond Engl)

View full text Add to dashboard Cite

Hysterectomy is the most frequently performed major surgical intervention in gynecology. Although surgically removing the uterus is invasive, it represents the most definitive treatment option for heavy menstrual bleeding. In this article, we will discuss the indications for hysterectomy as a treatment for heavy menstrual bleeding, the different approaches to perform the hysterectomy, the complications which may occur during and after this procedure and finally the outcomes in comparison with other treatment options.

show abstract

Section: Discussionmentioning

confidence: 99%

Hysterectomy for Heavy Menstrual Bleeding

Meij

Emanuel

2016

Womens Health (Lond Engl)

View full text Add to dashboard Cite

show abstract

“…When comparing different endometrial ablation generations/techniques, the 2013 Cochrane review of Lethaby et al concludes that the existing evidence suggests comparable rates of success, satisfaction, and complications [5]. Firstgeneration techniques have the disadvantage of higher risk of complications, such as perforation, water intoxication, and injury of the urogenital tract [6][7][8]. Second-generation techniques try to compensate for these weaknesses and have the advantages of being more rapid, safe, and easy to apply [3,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

First-generation endometrial ablation revisited: retrospective outcome study—a series of 218 patients with premenopausal dysfunctional bleeding

Knaepen

Calenbergh

2015

Gynecol Surg

View full text Add to dashboard Cite

Premenopausal dysfunctional bleeding (PDB) is a common medical problem. Surgery is typically performed after the failure of a medical approach. Surgical options include endometrial ablation techniques or a hysterectomy. The aims of our study are to measure the outcome parameters of firstgeneration endometrial ablations (fgEA) and to identify patient-related prognostic factors. We included all fgEAs performed between September 2001 and December 2011 at the General Hospital of Turnhout, Belgium (n=218). The outcome was defined by the need for a postoperative therapy (group 1-no therapy; group 2-therapy, but no hysterectomy; group 3-hysterectomy). We also rated postoperative amenorrhea and patient satisfaction. The prognostic factors examined were associated dysmenorrhea, a history of cesarean section, preoperative duration of blood loss, age, parity, and a history of tubal ligation sterilization. We used Excel 2011, Version 14.0.0, and Statplus Mac LE 2009 for our statistical analysis. The hysterectomy rate post-fgEA was 10 % (22/ 218). The rate of amenorrhea (defined as cessation of bleeding from 3 months postprocedure until the moment the patient was interviewed) was 76 % (165/218). Ninety-two percent (202/218) of patients were either satisfied or very satisfied with the procedure and outcome. The only significant prognostic factor was the age of the patient at the time of the fgEA (p=0.0004 for mean age at time of fgEA and p=0.0433 for comparison pre-versus perimenopausal age). The outcome of this fgEA technique is often underestimated and can still result in a high amenorrhea and satisfaction rate and low postoperative hysterectomy rate.

show abstract

Clinical Outcomes and Costs With the Levonorgestrel-Releasing Intrauterine System or Hysterectomy for Treatment of Menorrhagia

Hurskainen¹,

Teperi²,

Rissanen³

et al. 2004

JAMA

302

183

View full text Add to dashboard Cite

ENORRHAGIA IS AN IMPORtant cause of ill health in women worldwide. A b o u t o n e t h i r d o f women report heavy menstrual bleeding at some time in their lives. 1 Menorrhagia is the presenting symptom among the majority of women who undergo hysterectomy, 2,3 and recent data suggest that menorrhagia is an increasingly common health problem. 4 The levonorgestrel-releasing intrauterine system (LNG-IUS) (Schering Co, Turku, Finland) has been advocated for the treatment of menorrhagia as an alternative to surgery. 5 The LNG-IUS is an intrauterine system that releases 20 µg of levonorgestrel every 24 hours over 5 years. The LNG-IUS was developed during the 1980s and licensed first for contraception in Finland in 1990. The estimated number of current LNG-IUS users worldwide is

show abstract

A randomised trial of endometrial ablation versus hysterectomy for the treatment of dysfunctional uterine bleeding: outcome at four years

Cited by 12 publications

References 3 publications

Hysterectomy for Heavy Menstrual Bleeding

Hysterectomy for Heavy Menstrual Bleeding

First-generation endometrial ablation revisited: retrospective outcome study—a series of 218 patients with premenopausal dysfunctional bleeding

Clinical Outcomes and Costs With the Levonorgestrel-Releasing Intrauterine System or Hysterectomy for Treatment of Menorrhagia

Contact Info

Product

Resources

About