Journal of Microwave Surgery
Online ISSN : 1882-210X
Print ISSN : 0917-7728
ISSN-L : 0917-7728
Volume 37 , Issue 1
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Original Article
  • The cases observed more than 6months
    Junko Hirooka, Masahiko Ishikawa, Takashi Noguchi, Keiko Segawa, Shoko ...
    2019 Volume 37 Issue 1 Pages 1-7
    Published: 2019
    Released: February 02, 2019
    JOURNALS FREE ACCESS

    We investigated outcomes of menorrhagic patients observed more than 6months treated with microwave endometrial ablation (MEA), because the longterm outcomes of this modality are still unknown.

    We retrospectively examined 127 Japanese women treated at Yamato Municipal Hospital from 2010–2016. Of 127 patients, 42, 60 and 25 had functional menorrhagia, uterine myomas, and adenomyosis, respectively. 12 months after MEA,

    menstrual flow declined to <1/2 in 100%, 96% and 82% of functional menorrhagia, myoma, and adenomyosis patients,

    respectively. However amenorrhea declined in myoma patients and the percentage of adenomyosis patients with menstrual

    flow ≥1/2 increased over time. Eight adenomyosis and six myoma cases recurred; 42.9% recurred after 12 months. MEA may

    be less effective for adenomyosis with a thickened myometrium (≥4cm).

    MEA is efficacious in controlling menorrhagia. Adenomyosis/myoma patients require preoperative evaluation and

    informed consent.

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