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Obstetric & Gynaecology


 

 




Dysfunciton Uterine Bleeding 

   

  • A Randomized Trial of Endometrial Ablation Versus Hysterectomy for the Treatment of Dysfunctional Uterine Bleeding: Outcome at Four Years.

    AM Grant, for the Aberdeen Endometrial Ablation Trials Group (Health Services Research Unit, Foresterhill, Aberdeen, Scotland) Br J Obstet Gynaecol 106: 360-366, 1999.

        


    The long-term outcome of initial endometrial ablation or hysterectomy in 204 women with dysfunctional uterine bleeding was determined. The patients were younger than 50 years and weighed less than 100 kg. Women were randomised to hysterectomy or endometrial ablation.

        

    Discussion – These results indicate that hysterectomy is associated with better general health and fewer premenstrual symptoms. Up to 40% of patients who had endometrial ablation eventually needed further surgical treatment. Hysterectomy and associated morbidity were avoided by 76% of women with dysfunctional uterine bleeding who would otherwise have had a hysterectomy after the introduction of this endometrial ablation policy. At 4 years, the difference in cost between these 2 procedure policies had narrowed.

       


    The results of this study are important because it is the longest duration of follow-up of women with dysfunctional uterine bleeding who were randomized to treatment by hysterectomy or endometrial ablation. After 5 years of endometrial ablation, 40% had additional surgical therapy and 30% had a hysterectomy. This information should be given to women who are considering treatment by endometrial ablation instead of hysterectomy for dysfunctional uterine bleeding so they can base their decision on valid information about 5-year outcome.

       

      



 

 

Speciality Spotlight

 

 

Dysfunciton Uterine Bleeding 
   

  • A Randomized Trial of Endometrial Ablation Versus Hysterectomy for the Treatment of Dysfunctional Uterine Bleeding: Outcome at Four Years.
    AM Grant, for the Aberdeen Endometrial Ablation Trials Group (Health Services Research Unit, Foresterhill, Aberdeen, Scotland) Br J Obstet Gynaecol 106: 360-366, 1999.
        
    The long-term outcome of initial endometrial ablation or hysterectomy in 204 women with dysfunctional uterine bleeding was determined. The patients were younger than 50 years and weighed less than 100 kg. Women were randomised to hysterectomy or endometrial ablation.
        
    Discussion – These results indicate that hysterectomy is associated with better general health and fewer premenstrual symptoms. Up to 40% of patients who had endometrial ablation eventually needed further surgical treatment. Hysterectomy and associated morbidity were avoided by 76% of women with dysfunctional uterine bleeding who would otherwise have had a hysterectomy after the introduction of this endometrial ablation policy. At 4 years, the difference in cost between these 2 procedure policies had narrowed.
       
    The results of this study are important because it is the longest duration of follow-up of women with dysfunctional uterine bleeding who were randomized to treatment by hysterectomy or endometrial ablation. After 5 years of endometrial ablation, 40% had additional surgical therapy and 30% had a hysterectomy. This information should be given to women who are considering treatment by endometrial ablation instead of hysterectomy for dysfunctional uterine bleeding so they can base their decision on valid information about 5-year outcome.
       

      

 

By |2022-07-20T16:43:47+00:00July 20, 2022|Uncategorized|Comments Off on Dysfunciton Uterine Bleeding

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