Factors Influencing Long-term Outcome of Loop Endometrial Resection

Tirso Pérez-Medina, Tirso Pérez‐Medina, Haya J, Javier Haya, Frutos LS, L. San Frutos, Luis San Frutos, José Bajo Arenas, Arenas JB
The Journal of the American Association of Gynecologic Laparoscopists · 2002 · vol. 9(3) , pp. 272–276 · doi:10.1016/s1074-3804(05)60403-3 · PMID:12101321 · W2008137039
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This study investigated factors associated with long-term outcomes following loop endometrial resection and identified key predictors of success and recurrence.

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Abstract

Study objectiveTo analyze factors that contribute to long-term success of loop endometrial resection (ER).DesignObservational cohort study (Canadian Task Force classification II-2).SettingTertiary care university hospital.PatientsTwo hundred eighty-six premenopausal women with menometrorrhagia resistant to medical treatment.InterventionLoop endometrial resection.Measurements and main resultsMean follow-up was 47 months. Life table analysis with log rank test was determined to calculate the risk of hysterectomy after ER. Patient age, length of follow-up, adenomyosis, and uterine size were analyzed independently. More than 75% of patients benefited from the procedure, avoiding hysterectomy after 5 years.ConclusionLength of follow-up, patient age, and the presence of adenomyosis strongly influence the long-term success of ER. The procedure should be considered an intermediate step between medical treatment and hysterectomy.

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MeSH descriptors

Hysteroscopy Menorrhagia Metrorrhagia Adult Age Factors Female Humans Hysterectomy Life Tables Menorrhagia Metrorrhagia Middle Aged Regression Analysis Treatment Outcome

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