Hysteroscopic endomyometrial resection: a new technique for the treatment of menorrhagia
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Hysteroscopic endomyometrial resection removed at least 3 mm of uterine lining, resulting in amenorrhea in 84% of patients and improved dysmenorrhea scores for menorrhagia treatment.
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Abstract
Thirty-five patients with menorrhagia and a normal uterine cavity underwent hysteroscopic endomyometrial resection. None underwent any form of medical or surgical preparation of the endometrium. A standard gynecologic resectoscope was used to excise a minimum of 3 mm of endomyometrium from the entire uterine cavity. This depth was reduced to 2 mm at the tubal ostia. All patients were followed for 3-6 months. Twenty-one of the 25 patients (84%) who were followed at 6 months reported amenorrhea. The mean dysmenorrhea scores improved from 2.84 to 0.56 postoperatively. Seven of the 35 patients were diagnosed with adenomyosis. One woman was found to have adenomatous hyperplasia of the endometrium. Hysteroscopic endomyometrial resection is a highly effective method for the treatment of menorrhagia. This technique produces a very high rate of amenorrhea, provides a histologic specimen of the endomyometrium, and obviates the need for medical or surgical preparation of the endometrium.
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Cited by (11)
- Ulipristal acetate use in adenomyosis: A randomized controlled trial 2020
- Transcervical resection of the endometrium and myometrium: a review of 111 patients after 6 years 2002
- Hysteroscopic endomyometrial resection 2001
- Adenomyosis, Leiomyomata, and Pelvic Pain 1998
- Experience with laparoscopic leiomyoma coagulation and concomitant operative hysteroscopy 1997
- Treatment of adenomyosis-associated menorrhagia with a levonorgestrel-releasing intrauterine device 1997
- Medical Research Council randomised trial of endometrial resection versus hysterectomy in management of menorrhagia 1997
- Treatment of adenomyosis-associated menorrhagia levonorgestrel-releasing intrauterine device with a 1997
- Endometrial resection for the treatment of menorrhagia 1996
- Endometrial Ablation: Complications and Outcome 1996
- Endometrial electrosurgical resection by hysteroscopy in 32 menorrhagic patients: endometrial preparation with a GnRH agonist may have some effect on results 1995
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