Endometrial resection and late reoperation in the treatment of menorrhagia

Abstract

We evaluated the effectiveness of transcervical resection of the endometrium (TCRE) and the indications of late reoperations in 250 women with dysfunctional bleeding. The women were questioned about symptoms and levels of satisfaction 3, 12, 24, 36, and 48 months after the procedure. Average follow-up was 24 months (range 4-48 mo). Repeat resection was performed in 8 women (3.2%) and hysterectomy in 13 (5.2%). Seven women (2.8%) had reoperation because of recurrent unacceptable vaginal bleeding. Late onset of pain occurred in 14 (5.6%). The success rate at 3 months as measured by patient satisfaction was 97% and at 4 to 45 months 91%. A definite subgroup of women developed late onset of pain with or without bleeding after endometrial resection. Results at 3 months did not necessarily correlate with longer-term outcomes. Provided that the surgeon has extensive training, few women will be dissatisfied with the procedure.

Fluid absorption and the long‐term outcome after transcervical resection of the endometrium

“…The cohort constitutes a consecutive series of patients from Bodö in Norway operated on by one surgeon (A. J. S.) between 1992 and 1996. Surgical and pathological aspects of the patients have been presented elsewhere (11).…”