Uterine thermal balloon therapy under local anaesthesia for the treatment of menorrhagia: a pilot study
Other
OA: closed
CC0
⤵ 9 in-corpus citations
AI-generated summary
This pilot study found that uterine thermal balloon ablation under local anesthesia effectively reduced menstrual bleeding and was well-tolerated in patients with menorrhagia.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
This study evaluates the use of local anaesthesia in a subset of patients undergoing uterine thermal balloon endometrial ablation for the treatment of menorrhagia. Out of 51 patients with dysfunctional uterine bleeding, 18 were included for uterine balloon therapy under local anaesthesia. Inclusion criteria were dysfunctional bleeding with absence of organic lesions in the uterine cavity, adequate relaxation and pain control during physical examination and diagnostic hysteroscopy, and patient desire to avoid a general anaesthetic. Paracervical block was performed with 20 ml of dilute 1% lignocaine HCl with epinephrine 1:200,000. Success of the procedure was defined as amenorrhoea, hypomenorrhoea, or eumenorrhoea. The median follow-up period was 13.9 +/- 5 months and 11 patients (61%) had follow-up of >1 year. Treatment led to a significant decrease in menstrual flow, duration, and pad count in all patients (P < 0.0001). No intra-operative complications occurred. A pain scale (level 1-10) was used to evaluate the patients' tolerance of the procedure (mean 3.8 +/- 1.3). In light of these successful and well tolerated procedures, thermal balloon endometrial ablation, utilizing local anaesthesia, appears practical as an office-based therapy.
My notes (saved in your browser only)
MeSH descriptors
Citation neighborhood
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.
References (11)
- Assessment of medical treatments for menorrhagia via openalex
- Endometrial resection for the treatment of menorrhagia via openalex
- Evaluation of surgical options in menorrhagia via openalex
- Hysteroscopic endometrial ablation via openalex
- W2043690685 via openalex
- W2040726126 via openalex
- W2026954362 via openalex
- W2170201218 via openalex
- W2329854138 via openalex
- W2412999371 via openalex
- W156991572 via openalex
Cited by (10)
- RETRACTED: Trichloroacetic acid for the treatment of dysfunctional uterine bleeding: a pilot prospective clinical trial 2012
- NovaSure endometrial ablation under local anaesthesia in an outpatient setting: An observational study 2011
- Thermachoice endometrial ablation in the outpatient setting, without local anesthesia or intravenous sedation: a prospective cohort study 2005
- Intrauterine instillation of trichloroacetic acid is effective for the treatment of dysfunctional uterine bleeding 2005
- Outpatient thermal balloon ablation of the endometrium 2004
- Evidence and techniques in endometrial ablation: consensus 2002
- Evidence and techniques in endometrial ablation: consensus 2002
- Endometrial cryoablation and thermal ablation 2000
- Partial rollerball endometrial ablation: a modification of total ablation to treat menorrhagia without causing complications from intrauterine adhesions 1999
- Morphological changes in hysterectomies after endometrial ablation 1999
Source provenance
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T22:00:28.864438+00:00
- unpaywall
- last seen: 2026-10-13T06:25:51.201866+00:00
License: CC0
· commercial use OK