New-onset pelvic organ prolapse after Novasure endometrial ablation

In: Archives of Gynecology and Obstetrics · 2008 · vol. 278(2) , pp. 187–189 · doi:10.1007/s00404-007-0546-7 · PMID:18196256 · W2006114120
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A 45-year-old woman developed symptomatic Stage 3 pelvic organ prolapse one month after undergoing Novasure endometrial ablation for dysfunctional uterine bleeding.

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Abstract

BackgroundEndometrial ablation with bipolar radiofrequency energy (NovaSure) for dysfunctional uterine bleeding has gained wide acceptance due to its ease and efficacy.CaseA 45-year-old, gravida three, para two, female developed symptomatic Stage 3 pelvic organ prolapse (POP) 1 month after endometrial ablation using NovaSure.ConclusionTo our knowledge, this is the first published case of new-onset POP briefly after an endometrial ablation. It is not clear whether there is a causal association between the ablation procedure and de novo POP. Should there be any additional cases of de novo POP post endometrial ablation, further investigation would be warranted.

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