Depth of endometrial penetration in adenomyosis helps determine outcome of rollerball ablation

A M McCausland, Arthur M. McCausland, McCausland AM, McCausland VM, Vance M. McCausland, V M McCausland
American journal of obstetrics and gynecology · 1996 · vol. 174(6) , pp. 1786–1794 · doi:10.1016/s0002-9378(96)70211-9 · PMID:8678141 · W2010659428
Other OA: closed CC0 ⤵ 79 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This study investigated how the depth of endometrial penetration in adenomyosis influences rollerball ablation outcomes.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVE: Our purpose was to determine whether the depth of endometrial penetration into the myometrium correlates with outcome of rollerball endometrial ablation. STUDY DESIGN: Fifty consecutive patients with hysteroscopically normal-appearing cavities (without gross polyps or submucous fibroids) had endometrial ablations for menorrhagia and were subsequently studied for > or = 3.5 years. A posterior myometrial biopsy to determine the amount of endometrial penetration was performed and correlated with outcome. RESULTS: Patients with deep endometrial penetration into the myometrium (deep adenomyosis) had poor outcomes after ablation. Those with no or minimal endometrial penetration (superficial adenomyosis) had good results with few exceptions. CONCLUSION: A myometrial biopsy specimen at the time of operative hysteroscopy can diagnose adenomyosis and help predict outcome after rollerball endometrial ablation. Superficial adenomyosis can be treated definitively with ablation. Deep adenomyosis responds poorly to ablation. Hysterectomy should be considered when myometrial biopsy, preoperative ultrasonography, or magnetic resonance imaging demonstrates deep adenomyosis.

My notes (saved in your browser only)

Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Endometriosis Endometrium Endometrium Adult Adult Biopsy Biopsy Endometriosis Endometriosis Endometrium Endometrium Female Female Humans Humans Hysterectomy Hysterectomy Menorrhagia Menorrhagia

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 (13)

Cited by (50)

Source provenance

europepmc
last seen: 2026-10-12T06:17:10.165071+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:59:49.088203+00:00
unpaywall
last seen: 2026-10-12T06:33:14.382917+00:00
License: CC0 · commercial use OK