Thermal balloon ablation versus transcervical endometrial resection: evaluation of postoperative pelvic pain in women treated for dysfunctional uterine bleeding

Amerigo Vitagliano, M. Bertin, Lorena Conte, Sofia Borgato, Concetta Leggieri, Simone Fagherazzi
In: Clinical and Experimental Obstetrics & Gynecology · 2014 · vol. 41(4) , pp. 405–408 · doi:10.12891/ceog19182014 · PMID:25134286 · W2412254120
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

Thermal balloon ablation caused more immediate postoperative pelvic pain and required more analgesics compared to transcervical endometrial resection in women treated for dysfunctional uterine bleeding.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This longitudinal observational study evaluated postoperative pelvic pain in 47 women with dysfunctional uterine bleeding who underwent either transcervical endometrial resection or thermal balloon ablation. Pelvic pain was assessed 1 and 4 hours after the procedure, along with the need for analgesic rescue dosing, and patients were re-evaluated at 30 days for postoperative outcomes. Pelvic pain and analgesic requirements were higher in the thermal balloon ablation group, while both procedures had no reported major complications such as uterine perforation, heavy blood loss, or thermal injuries. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match related to pelvic pain and gynecologic procedural outcomes.

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Abstract

PURPOSE OF THE STUDY: To evaluate postoperative pain after mini-invasive surgical treatment for dysfunctional uterine bleeding (DUB) with transcervical endometrial resection or thermal ablation balloon. MATERIALS AND METHODS: A longitudinal observational study, analyzing 47 women affected by DUB who underwent endometrial ablation was conducted. The authors collected evaluation of pelvic pain at one and four hours after intervention and the individual necessity of analgesics. After 30 days, all patients underwent a gynecological visit to evaluate postoperative outcome. RESULTS: Pelvic pain was higher one and four hours after procedure in thermal balloon ablation group, and patients in the same group required more analgesic rescue dose. There were no complications such as uterine perforation, heavy blood loss or thermal injuries with both the procedures. CONCLUSION: Thermal balloon ablation appears a more painful procedure than endometrial resection, both in the immediate postsurgical time and 30 days after surgery. Ad hoc anaesthesiologic and analgesic protocol should be adopted to ensure quick recovery and good acceptance of the procedure.
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Abstract

Purpose of the study: To evaluate postoperative pain after mini-invasive surgical treatment for dysfunctional uterine bleeding (DUB) with transcervical endometrial resection or thermal ablation balloon. Materials and Methods: A longitudinal observational study, analyzing 47 women affected by DUB who underwent endometrial ablation was conducted. The authors collected evaluation of pelvic pain at one and four hours after intervention and the individual necessity of analgesics. After 30 days, all patients underwent a gynecological visit to evaluate postoperative outcome. Results: Pelvic pain was higher one and four hours after procedure in thermal balloon ablation group, and patients in the same group required more analgesic rescue dose. There were no complications such as uterine perforation, heavy blood loss or thermal injuries with both the procedures. Conclusion: Thermal balloon ablation appears a more painful procedure than endometrial resection, both in the immediate postsurgical time and 30 days after surgery. Ad hoc anaesthesiologic and analgesic protocol should be adopted to ensure quick recovery and good acceptance of the procedure.

Keywords

- Transcervical endometrial resection - Thermal balloon ablation - Pelvic pain - Complications - Dysfunctional uterine bleeding

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