Fertility and Sterility
Volume 90, Issue 5 , Pages 1812-1817 , November 2008

A survey of preferences and practices of endometrial ablation/resection for menorrhagia in the United Kingdom

  • Shilpa Deb, M.B.B.S., M.R.C.O.G.

      Affiliations

    • Department of Obstetrics and Gynecology, Nottingham University Hospitals, Queens Medical Centre Campus, Nottingham, United Kingdom
    • Corresponding Author InformationReprint requests to: Shilpa Deb, M.B.B.S., M.R.C.O.G., 39, Woodcote way, Littleover, Derby DE23 3WR, UK.
  • ,
  • Kulwant Flora, B.Sc. (Hons)

      Affiliations

    • Department of Obstetrics and Gynecology, School of Human Development, University of Nottingham, Nottingham, United Kingdom
  • ,
  • William Atiomo, D.M., M.A., M.R.C.O.G., F.H.E.A.

      Affiliations

    • Department of Obstetrics and Gynecology, School of Human Development, University of Nottingham, Nottingham, United Kingdom

Received 6 June 2007 ,Revised 21 August 2007 ,Accepted 21 August 2007.

References 

  1. National Evidence Based Clinical Guidelines. Heavy menstrual bleeding. Issue date: January 2007: Number 4. Available at http://guidance.nice.org.uk/CG44 (last accessed 27th June 2007).
  2. Royal College of Obstetricians and Gynecologists. National Evidence Based Clinical Guidelines. The Management of Menorrhagia in Secondary Care. vol. 101. London: RCOG Press; 1999;470–473 (evidence-based clinical guideline number 5)
  3. Overton C, Maresh M, Hargreaves J. A national survey of the complications of endometrial destruction for menstrual disorders: the MISTLETOE study. Br J Obstet Gynecol. 1997;104:1351–1359
  4. Lethaby A, Hickey M, Garry R. Endometrial destruction techniques for heavy menstrual bleeding. Cochrane Database Syst Rev. 2005;CD001501
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  6. Garside R, Stein K, Wyatt K, Round A. Microwave and thermal balloon ablation for heavy menstrual bleeding: a systematic review. BJOG. 2005;112:12–23
  7. Munro MG. Endometrial ablation: where have we been? Where are we going?. Clin Obstet Gynecol. 2006;49:736–766
  8. Garside R, Stein K, Wyatt K, Round A, Price A. The effectiveness and cost-effectiveness of microwave and thermal balloon endometrial ablation for heavy menstrual bleeding: a systematic review and economic modeling. Health Technol Assess. 2004;8:1–155
  9. Gallinat A. Novasure impedance controlled system for endometrial ablation: Three-year follow-up on 107 patients. Am J Obstet Gynecol. 2004;191:1585–1589
  10. Van Zon-Rabelink IA, Vleugels MP, Merkus HM. Endometrial ablation by roller ball electro coagulation compared to uterine balloon thermal ablation. Technical and safety aspects. Eur J Obstet Gynecol Reprod Biol. 2003;110:220–223
  11. Van Zon-Rabelink IA, Vleugels MP, Merkus HM. Efficacy and satisfaction rate comparing endometrial ablation by roller ball electro coagulation to uterine balloon thermal ablation in a randomized controlled trial. Eur J Obstet Gynecol Reprod Biol. 2004;114:97–103
  12. Loffer FD. Three-year comparison of thermal balloon and roller ball ablation in treatment of menorrhagia. J Am Assoc Gynecol Laparosc. 2001;8:48–54
  13. Loffer FD, Grainger D. Five year follow-up of patients participating in a randomized trial of uterine balloon therapy versus roller ball ablation for treatment of menorrhagia. J Am Assoc Gynecol Laparosc. 2002;9:429–435
  14. Meyer WR, Walsh BW, Grainger DA. Thermal balloon and roller ball ablation to treat menorrhagia: a multicentre comparison. Obstet Gynecol. 1998;92:98–103
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  18. Bongers MY, Bourdrez P, Heintz APM. Bipolar radio frequency endometrial ablation compared with balloon endometrial ablation in dysfunctional uterine bleeding: impact on patients' health-related quality of life. Fertil Steri. 2005;83:724–734
  19. Abbott J, Hawe J, Hunter D. A double-blind randomized trial comparing the cavaterm and the Novasure endometrial ablation systems for the treatment of dysfunctional uterine bleeding. Fertil Steril. 2003;80:203–208
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  21. Mukherjee K, Jones K. Laparoscopic entry technique—a survey of practices of consultant gynecologists. Gynecol Surg. 2005;2:245–249
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  23. Owusu-Ansah R, Gatongi D, Chien PF. Health technology assessment of surgical therapies for benign gynecological disease. Best Pract Res Clin Obstet Gynaecol. 2006;20:841–879
  24. Sowter MC, Lethaby A, Singla AA. Pre-operative endometrial thinning agents before endometrial destruction for heavy menstrual bleeding. Cochrane Database Syst Rev. 2002;CD001124

 None of the authors have any conflict of interest.

 Funding source: School of Human Development, University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UK.

 Abstract accepted for presentation at the British International Congress of Obstetrics and Gynecology in London, July 4–6, 2007.

PII: S0015-0282(07)03395-X

doi: 10.1016/j.fertnstert.2007.08.052

Fertility and Sterility
Volume 90, Issue 5 , Pages 1812-1817 , November 2008