Hematometra after Thermal Balloon Endometrial Ablation in a Patient with Cervical Incompetence

Stanley R. Hubert; Peter S. Marcus; Jeffrey M. Rothenberg; Jeanne M. Schilder; William W. Hurd

doi:10.1089/109264201317054627

Hematometra after Thermal Balloon Endometrial Ablation in a Patient with Cervical Incompetence

Stanley R. Hubert, Peter S. Marcus, Jeffrey M. Rothenberg, Jeanne M. Schilder, William W. Hurd

In: Journal of Laparoendoscopic & Advanced Surgical Techniques · 2001 · vol. 11(5) , pp. 311–313 · doi:10.1089/109264201317054627 · PMID:11642669 · W2133674147

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-17 ⓘ

This case report describes a patient with a history of cervical incompetence who developed hematometra after thermal balloon endometrial ablation, suggesting cervical incompetence may indicate decreased cervical resistance and increased risk.

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Abstract

BACKGROUND: Thermal balloon endometrial ablation is a relatively safe nonsurgical treatment for menorrhagia. Hematometra follows this procedure in <3 % of patients, but risk factors for this complication are unclear. CASE: A woman with a history of cervical incompetence during pregnancy later developed cervical occlusion and hematometra after thermal balloon endometrial ablation. Cervical occlusion did not recur after cervical dilatation and temporary placement of a catheter as a stent. CONCLUSION: The normal resistance of the internal cervical os may be an important factor in avoiding thermal damage to the cervix during thermal balloon endometrial ablation. This case suggests that a history of cervical incompetence may be a clinical indicator of decreased cervical resistance.

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References (7)

Laser photovaporization of endometrium for the treatment of menorrhagia via openalex
Uterine thermal balloon therapy for the treatment of menorrhagia: the first 300 patients from a multi‐centre study via openalex
doi:10.1016/s0029-7844(98)00141-0 via openalex
doi:10.1016/s0015-0282(16)46455-1 via openalex
doi:10.1016/s1074-3804(96)80317-3 via openalex
doi:10.1067/mob.2000.106851 via openalex
doi:10.1016/0002-9378(92)91657-v via openalex

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[1] Laser photovaporization of endometrium for the treatment of menorrhagia 1981

[2] Uterine thermal balloon therapy for the treatment of menorrhagia: the first 300 patients from a multi‐centre study 1998