Surgical technique
Usefulness of hysteroscopic endometrial ablation for adenomyosis
2019 Volume 35 Issue 2 Pages 399-403
Details
2019 Volume 35 Issue 2 Pages 399-403
Objective: The aim of this study was to evaluate the usefulness of hysteroscopic endometrial ablation for adenomyosis with hypermenorrhea.
Design: Retrospective analysis
Setting: Tokyo Metropolitan Health and Hospitals Corporation, Ohkubo Hospital, Japan
Method(s): From January 2011 to December 2017, 14 women with hypermenorrhea underwent hysteroscopic endometrial ablation for adenomyosis. Surgical outcomes and complications were evaluated. In our method, the endometrium and a part of the myometrium lining the uterus (approximately 5 mm in depth) were resected.
Result(s): All patients had decreased bleeding. Four patients had amenorrhea (28.6%) and 10 patients had menorrhea (71.4%). The recurrence of hypermenorrhea and major complications were not reported. Three patients with dysmenorrhea needed additional treatments but were relieved by hormonal therapy and were able to avoid hysterectomy.
Conclusion(s): Hysteroscopic endometrial ablation for adenomyosis is an effective and safe procedure that can reduce the hysterectomy rate.
