Long-term efficacy of transcervical endometrial resection with no preoperative hormonal preparation

Béla G. Molnár, Zsolt Kormányos, László Kovács, A. Pál

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To assess the level of patient satisfaction after transcervical endometrial resection (TCRE) with no preoperative hormonal preparation. Study design: A retrospective audit of a continuous case series was accomplished on 131 consecutive patients who underwent TCRE for dysfunctional uterine bleeding. Data of postal questionnaires were analysed and subjected to survival analysis. Results: Thirty-three cases were lost to follow-up; thus, the data on 98 of the 131 (74.8%) patients were analysed. The average follow-up period was 94.8 months (60-132). Twenty (20.4%) women required D&C and 15 (15.3%) had hysterectomy. In eight of the 15 cases, the indication for hysterectomy was not related with the primary operation. The chance of avoiding hysterectomy reached a plateau after 72 months, at 78.3% (SE: 5.05%). The chance of avoiding D&C at up to 36 months was 98.6% (SE: 1.4%), and reached a plateau after 107 months at 67.11% (SE: 6.1%); 55.8% of the patients became amenorrhoeic, the remaining cases reporting good improvements in the amount and duration of bleeding, and dysmenorrhoea. Eighty-six of the 98 patients (88%) were satisfied or very satisfied with the result. Conclusions: TCRE affords reasonable long-term effectiveness in the treatment of dysfunctional uterine bleeding, even without any preoperative hormonal endometrial preparation.

Original languageEnglish
Pages (from-to)115-122
Number of pages8
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume127
Issue number1
DOIs
Publication statusPublished - Jul 1 2006

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Hysterectomy
Metrorrhagia
Dysmenorrhea
Lost to Follow-Up
Survival Analysis
Patient Satisfaction
Hemorrhage

Keywords

  • Endometrial Resection
  • Hormonal preparation
  • Long-term follow up
  • Metrorrhagia
  • Survival analysis

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Long-term efficacy of transcervical endometrial resection with no preoperative hormonal preparation. / Molnár, Béla G.; Kormányos, Zsolt; Kovács, László; Pál, A.

In: European Journal of Obstetrics Gynecology and Reproductive Biology, Vol. 127, No. 1, 01.07.2006, p. 115-122.

Research output: Contribution to journalArticle

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