Hysteroscopic Endometrial Ablation as a Treatment for Abnormal Uterine Bleeding in Patients with Renal Transplants

Jeong KA, Kyung-Ah Jeong, Ki Hyun Park, Park KH, Da Jung Chung, Chung DJ, Shin JS, Jong Seung Shin, Sang Wook Bai, Byung Seok Lee, Dong Jae Cho, Cho DJ, Chan Ho Song, Song CH
The Journal of the American Association of Gynecologic Laparoscopists · 2004 · vol. 11(2) , pp. 252–255 · doi:10.1016/s1074-3804(05)60209-5 · PMID:15200785 · W1969455658
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This paper describes hysteroscopic endometrial ablation as a treatment option for abnormal uterine bleeding in patients who have received kidney transplants.

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Abstract

Study objectiveTo assess the effectiveness and safety of hysteroscopic endometrial ablation as a surgical management of abnormal uterine bleeding that develops in patients with renal transplants.DesignRetrospective study (Canadian Task Force classification II-2).SettingYonsei University Medical College, Severance Hospital.PatientsSixty-two women with abnormal uterine bleeding who had undergone renal transplantation.InterventionHysteroscopic endometrial ablation.Measurements and main resultsFifty-four out of 62 patients (87.0%) who had undergone hysteroscopic endometrial ablation reported decreased bleeding (95% CI: 0.76 to 0.94): amenorrhea in 25 (40.3%), spotting in 19 (30.6%), and eumenorrhea in 10 (16.1%). Mean follow-up duration was 6 months. No complications related to the procedure were reported. Levonorgestrel-releasing intrauterine systems (LNG-IUSs) were inserted into eight patients who experienced continuous bleeding, five of whom showed symptomatic improvement: spotting in three (4.9%) and eumenorrhea in two (3.2%). The three patients (4.9%) in whom the LNG-IUS had no effect had hysterectomies, and the resultant pathologic findings were two cases of adenomyosis and one case of simple endometrial hyperplasia without atypia.ConclusionHysteroscopic endometrial ablation as a surgical management of abnormal uterine bleeding that develops in patients with renal transplants is an effective and safe procedure.

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MeSH descriptors

Hysteroscopy Kidney Failure, Chronic Kidney Transplantation Menorrhagia Adult Cohort Studies Confidence Intervals Electrocoagulation Electrocoagulation Endometrium Endometrium Female Follow-Up Studies Humans Hysteroscopy Kidney Failure, Chronic Kidney Failure, Chronic Kidney Failure, Chronic Menorrhagia Menorrhagia

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