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A randomized comparison of endometrial laser intrauterine thermotherapy and hysteroscopic endometrial resection
- Source :
- Fertility and sterility. 82(3)
- Publication Year :
- 2003
-
Abstract
- Objective To investigate the difference of long-term amenorrhea rate in patients with menorrhagia treated by endometrial laser intrauterine thermal therapy (ELITT), a new nonhysteroscopic endometrial ablation procedure, versus transcervical hysteroscopic endometrial resection (TCRE). Design Randomized clinical study. Healthy volunteers in an academic research environment. Setting Academic teaching hospital. Patient(s) Premenopausal women with abnormal uterine bleeding. Intervention(s) Fifty-eight patients were treated with the ELITT procedure and 58 patients with TCRE; both groups were treated with GnRH agonists before the procedure. Main outcome measure(s) Bleeding status and patient satisfaction after treatment were evaluated as well as the intraoperative complication rate. Result(s) At 12 months, the amenorrhea rate was 56% in the ELITT group and 23% in the TCRE group. At 36 months, the figures were 61% for ELITT and 24% for TCRE. No significant complications were recorded for either procedure. Conclusion(s) Results of this randomized study demonstrate that both procedures are equally effective in the treatment of menorrhagia. However, the ELITT procedure has proven to be superior in inducing amenorrhea.
- Subjects :
- Adult
medicine.medical_specialty
Intraoperative Complication
Randomization
Dysfunctional uterine bleeding
Hysteroscopy
Endometrium
Endometrial resection, laser endometrial ablation, amenorrhea, dysfunctional uterine bleeding
law.invention
Patient satisfaction
Randomized controlled trial
Dysmenorrhea
law
medicine
Humans
medicine.diagnostic_test
business.industry
Obstetrics and Gynecology
Hyperthermia, Induced
Middle Aged
Settore MED/40 - Ginecologia E Ostetricia
Surgery
Parity
medicine.anatomical_structure
Reproductive Medicine
Amenorrhea
Female
Uterine Hemorrhage
medicine.symptom
business
Subjects
Details
- ISSN :
- 00150282
- Volume :
- 82
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Fertility and sterility
- Accession number :
- edsair.doi.dedup.....300eded7c08aabd50a70929a7585d07d