Efficacy of multiple microwave endometrial ablation technique for menorrhagia resulting from adenomyosis

Kohei Nakamura, Nakamura K, Kentaro Nakayama, Nakayama K, Masako Ishikawa, Ishikawa M, Katagiri H, Hiroshi Katagiri, Katagiri A, Atsuko Katagiri, Tomoka Ishibashi, Ishibashi T, Sato E, Emi Sato, Yasuyuki Asakawa, Asakawa Y, Kyo S, Satoru Kyo
Journal of Obstetrics and Gynaecology Research · 2015 · vol. 41(11) , pp. 1769–1772 · doi:10.1111/jog.12787 · PMID:26223673 · W1923404937
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Multiple microwave endometrial ablations were more effective than single ablations for reducing menorrhagia and increasing patient satisfaction in women with adenomyosis.

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Abstract

AIM: Conventional microwave endometrial ablation (MEA) can be insufficient to control menorrhagia resulting from adenomyosis. We compared the standard single ablation technique with multiple MEA - repeating ablation three times in the same region - in patients with adenomyosis and menorrhagia. MATERIAL AND METHODS: We performed single MEA in 18 patients and multiple MEA in seven patients between 2007 and 2013. We compared the efficacy of single and multiple MEA using a visual analog scale (VAS) for menorrhagia, dysmenorrhea, and patient satisfaction. We also evaluated the incidence of menorrhagia recurrence, amenorrhea, and procedure complications in relation to patients' clinical factors. RESULTS: VAS scores for improved menorrhagia and patient satisfaction were significantly higher in the multiple MEA group than in the single MEA group; however, the operative time was longer in the multiple-treatment group. There were no statistical differences between groups in hemoglobin levels, VAS improvement for dysmenorrhea, menorrhagia recurrence, frequency of complications, or amenorrhea rate. CONCLUSION: Multiple MEA successfully controls menorrhagia from adenomyosis and achieves a higher satisfaction rate than single MEA.

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Condition tags

adenomyosisdysmenorrhea

MeSH descriptors

Adenomyosis Endometrial Ablation Techniques Menorrhagia Microwaves Adenomyosis Adenomyosis Adult Adult Endometrial Ablation Techniques Endometrial Ablation Techniques Female Female Humans Humans Menorrhagia Menorrhagia Menorrhagia Microwaves Microwaves Middle Aged

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (8)

Cited by (6)

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