TY - JOUR
T1 - Endometrial ablation for intractable uterine bleeding
T2 - Hysteroscopic resection
AU - DeCherney, Alan H.
AU - Diamond, Michael P.
AU - Lavy, Gad
AU - Polan, Mary Lake
PY - 1987/10
Y1 - 1987/10
N2 - Twenty-one patients with intractable uterine bleeding were treated by resectoscopic ablation of the endometrium. All the patients were worked up thoroughly to rule out hormonal or anatomic reasons for their bleeding. In addition, various hormonal regimens were tried to stop the bleeding. Our technique used the modified urologic resectoscope, which is inserted into the uterine cavity. The entire endometrial cavity was ablated using 30 W of coagulating current. Of the 21 patients treated, 14 had blood dyscrasias, four were poor anesthetic risks, and three refused hysterectomy. There were no complications from the procedure. Three patients died from their primary disease, and all the rest, except for one, remained amenortheic. We conclude that the use of the resectoscope for endometrial ablation is a successful, efficient, safe, and readily available way to treat intractable uterine bleeding.
AB - Twenty-one patients with intractable uterine bleeding were treated by resectoscopic ablation of the endometrium. All the patients were worked up thoroughly to rule out hormonal or anatomic reasons for their bleeding. In addition, various hormonal regimens were tried to stop the bleeding. Our technique used the modified urologic resectoscope, which is inserted into the uterine cavity. The entire endometrial cavity was ablated using 30 W of coagulating current. Of the 21 patients treated, 14 had blood dyscrasias, four were poor anesthetic risks, and three refused hysterectomy. There were no complications from the procedure. Three patients died from their primary disease, and all the rest, except for one, remained amenortheic. We conclude that the use of the resectoscope for endometrial ablation is a successful, efficient, safe, and readily available way to treat intractable uterine bleeding.
UR - http://www.scopus.com/inward/record.url?scp=0023275281&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023275281&partnerID=8YFLogxK
M3 - Article
C2 - 3627634
AN - SCOPUS:0023275281
SN - 0029-7844
VL - 70
SP - 668
EP - 669
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 4
ER -