A randomized comparison of endometrial laser intrauterine thermotherapy and hysteroscopic endometrial resection

Renato Venezia, Antonino Perino, Gaspare Cucinella, Antonella Pane, Antonio Perino, Gaspare Cucinella, Andrea Biondo, Antonio Castelli, Renato Venezia, Antonio Castelli

Risultato della ricerca: Articlepeer review

36 Citazioni (Scopus)

Abstract

Objective:To investigate the difference of long-term amenorrhea rate in patients with menorrhagia treated byendometrial laser intrauterine thermal therapy (ELITT), a new nonhysteroscopic endometrial ablation proce-dure, 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; bothgroups were treated with GnRH agonists before the procedure.Main Outcome Measure(s):Bleeding status and patient satisfaction after treatment were evaluated as wellas the intraoperative complication rate.Result(s):At 12 months, the amenorrhea rate was 56% in the ELITT group and 23% in the TCRE group. At36 months, the figures were 61% for ELITT and 24% for TCRE. No significant complications were recordedfor either procedure.Conclusion(s):Results of this randomized study demonstrate that both procedures are equally effective in thetreatment 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

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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