Hysteroscopy versus hysterectomy for the treatment of abnormal uterine bleeding: a comparison of cost

Feasibility and long-term efficacy of hysteroscopic myomectomy for myomas with intramural development by the use of non-electrical “cold” loops

“…Hysteroscopic myomectomy is an efficient and effective technique and is considered the standard of care for conservative surgical removal of symptomatic (bleeding and infertility) submucous myomas [1][2][3]. The size and the different grading (G) of intramural extension of submucous myomas determine the chance of a complete resection and are strictly related to the risk of intraoperative complications (haemorrhage, perforation and fluid overload) [4][5][6][7][8].…”

A Systematic Review Evaluating Health-Related Quality of Life, Work Impairment, and Health-Care Costs and Utilization in Abnormal Uterine Bleeding

“…Nevertheless, direct comparisons of these costs in absolute terms across studies were precluded by variations across study settings, study populations, year of reported cost, and cost components (e.g., whether or not direct or indirect costs were considered, or whether or not ablation failure rates were factored). Despite this heterogeneity, most studies suggested that hysterectomy cost twice as much as ablation [72,74,88,90–99].…”

Photodynamic endometrial ablation for the treatment of dysfunctional uterine bleeding: A preliminary report

“…[12], but requires relevant postsurgical recovery. Surgical endometrial ablation preserving the uterus may provide an outpatient procedure, shorter absence of work and lower costs [13]. Hysteroscopic ablation techniques (laser, electrical loop resection, or roller-ball coagulation) are associated with potential complications, of which uterine perforation with damage to vital internal structures and fluid overload with cardio-respiratory complications are the most important ranging between 0.5 and 3.5% [14].…”