Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1380
2
1
gregorian
2001
5
1
15
1
online
1
fulltext
en
RANDOMIZED TRIAL COMPARING ROLLERBALL ABLATION WITH CUTTING LOOP ENDOMETRIAL RESECTION IN THE TREATMENT OF MENORRHAGIA
Gynecology & Obstetrics
Gynecology & Obstetrics
Original Research
Original Research
In order to compare the clinical efficacy, safety, success rate and probable
complications of rollerball ablation with cutting loop endometrial resection in the
treatment of menorrhagia, eighty-three women in reproductive age suffering from
menorrhagia who did not respond to medication were treated in a randomized
study comparing cutting loop endometrial resection with hysteroscopic rollerball
ablation for treatment of menorrhagia between Sep. 1995-Aug. 1999 at Shiraz
University of Medical Sciences' affiliated hospitals.
After at least twelve months of follow up, results indicated that both techniques
significantly reduced menstrual blood flow with no clinically significant
difference between the two groups as reflected by return to normal bleeding or
less (rollerball 95% and endometrial resection 93%). Rate of amenorrhea was
20.5% in rollerball and 25% in the resection group. Rate of post-op amenorrhea,
hypomenorrhea and normal menses was almost similar in both series and the
method of ablation had no influence on success rate. Only five patients (6%) were
considered treatment failures, two from the rollerball and three patients from the
resection group. Four of these required reoperation and one patient became amenorrheic
after starting medication. None of the eighty-three patients experienced
intra- or postoperative complications.
Endometrial ablation by either rollerball or resection methods is therefore a
successful, safe and cost-effective alternative for hysterectomy in the treatment of
intractable menorrhagia.
Endometrial ablation, Endometrial resection, Menorrhagia, Hysteroscopy.
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-272&slc_lang=en&sid=1
S
ALBORZI
alborzis@sums.ac.ir
20031947532846004219
20031947532846004219
Yes
From the Department of Obstetrics and Gynecology, Division of Endoscopy, Shiraz University of Medical Sciences, Shiraz, I.R. Iran.
ME
PARSANEZHAD
20031947532846004220
20031947532846004220
No