NovaSure impedance controlled system for endometrial ablation: Three-year follow-up on 107 patients
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This three-year follow-up study evaluated 107 patients who underwent endometrial ablation using the NovaSure impedance-controlled system, reporting on patient outcomes.
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Abstract
ObjectiveThis study was undertaken to assess the safety, efficacy, and data durability of the NovaSure ablation at 3 years after the procedure in women with menorrhagia secondary to dysfunctional uterine bleeding (DUB).Study designA prospective, single-arm, observational pilot study (Canadian Task Force classification II-1) was carried out at a specialized center for gynecologic endoscopy with 107 premenopausal women with menorrhagia secondary to DUB. NovaSure ablation was performed in 107 patients. Pictorial Blood loss Assessment Chart diary sampling was used to assess menstrual blood loss. Ablation was performed without any type of endometrial pretreatment.ResultsNo intraoperative or postoperative complications were observed. Treatment time averaged 94 seconds; 65% of the patients reported amenorrhea. Hysterectomy was avoided in 97.2% of patients at 3-year follow-up.ConclusionLong-term clinical results demonstrate that the NovaSure system is a safe and effective method for treatment of women with menorrhagia secondary to DUB, yielding high amenorrhea and success rates, with low re-treatment rates.
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Cites (4)
- Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States 1982
- Endometrial Resection for the Treatment of Menorrhagia 1996
- Goserelin acetate (Zoladex) plus endometrial ablation for dysfunctional uterine bleeding: a 3-year follow-up evaluation 2001
- Evidence and techniques in endometrial ablation: consensus 2002
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