A RANDOMIZED COMPARISON OF ENDOMETRIAL LASER INTRAUTERINE THERMOTHERAPY AND HYSTEROSCOPY ENDOMETRIAL RESECTION

Biondo, A.; Pane, A.; Venezia, R.

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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.
Lingua originaleEnglish
pagine (da-a)731-734
Numero di pagine4
RivistaFertility and Sterility
Volume82
Stato di pubblicazionePublished - 2004

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All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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