Microwave endometrial ablation: development, clinical trials and outcomes at three years

D A Hodgson, David A. Hodgson, I B Feldberg, I Feldberg, N Sharp, Nicholas Sharp, N Cronin, N. J. Cronin, Martyn J. Evans, M Evans, L Hirschowitz, Lynn Hirschowitz
British journal of obstetrics and gynaecology · 1999 · vol. 106(7) , pp. 684–694 · doi:10.1111/j.1471-0528.1999.tb08368.x · PMID:10428525 · W2094466378
Non-randomised trial OA: closed CC0 ⤵ 17 in-corpus citations
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Microwave endometrial ablation provided amenorrhea or lighter periods for over 60% of women and high satisfaction at three years, significantly improving dysmenorrhea.

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Abstract

OBJECTIVE: To describe the introduction of microwave endometrial ablation to clinical practice, and to report the outcomes three years after endometrial ablation. DESIGN: A clinical trial using prototype microwave endometrial ablation equipment. SETTING: District general hospital. POPULATION: Forty-three women with completed families and with failed medical management for menorrhagia were treated with microwave endometrial ablation between October 1994 and April 1995. MAIN OUTCOME MEASURES: A statement of perceived menstrual loss and satisfaction supported by a menstrual symptom questionnaire score. Dysmenorrhoea was graded as a measure of described severity. Treatment time. RESULTS: Forty-three women had a total of 46 treatments. Mean treatment time: n = 43, was 141 seconds (50-310). Amenorrhoea: n = 16; 37.2%. Very light periods/discharge: n = 11; 25.6%. Improved periods and woman satisfied: n = 9; 20.9%. Improved periods and woman not satisfied: n = 1; 2.3%. Overall satisfaction at three years is 83.7%. Moderate (55.8%) or severe (27.9%) dysmenorrhoea pre-operatively had improved to 11.6% and 6.8% respectively at three years. Three re-treatments and four hysterectomies will be discussed. CONCLUSIONS: Microwave endometrial ablation is a new treatment for dysfunctional uterine bleeding using the application of microwave energy to the endometrium. This results in a rapid but restricted depth of intrauterine heating avoiding hysteroscopic fluid, operative haemorrhage and earthing risks. The technique is simple to learn and perform. Women report a high level of satisfaction three years after microwave endometrial ablation.

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Condition tags

dysmenorrhea

MeSH descriptors

Catheter Ablation Endometrium Menorrhagia Microwaves Uterine Diseases Adult Catheter Ablation Cohort Studies Dysmenorrhea Dysmenorrhea Endometrium Female Humans Menorrhagia Microwaves Middle Aged Patient Satisfaction Treatment Outcome Uterine Diseases

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 (57)

Cited by (17)

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