64: Abnormal Uterine Bleeding and Quality of Life Measures after Microwave Endometrial Ablation

Abstract

Study ObjectiveTo assess improvement in abnormal uterine bleeding and quality of life measures after microwave endometrial ablations performed at Duke University.DesignRetrospective analysis of consecutive cases of microwave endometrial ablation.SettingAn academic or tertiary clinic setting.PatientsTwenty-three females who underwent microwave endometrial ablation from November, 2003 through April, 2005. The vast majority of females had been referred to our clinic after failing medical therapies.InterventionMicrowave endometrial ablation in an ambulatory surgical setting.Measurements and Main ResultsData to be presented includes improvement in abnormal uterine bleeding and quality of life measures. Only 1 of 23 (4%) females failed or was unsatisfied with the MEA procedure. Those females who received pre-operative endometrial thinning agents had overall improved outcomes compared to those females who did not. One female with large myomas underwent MEA prior to uterine artery embolization, and at 3 month follow-up had a reduction from 14 days of bleeding to 3 days of bleeding.ConclusionMicrowave endometrial ablation provides an effective alternative to hysterectomy for females that fail medical management. Study ObjectiveTo assess improvement in abnormal uterine bleeding and quality of life measures after microwave endometrial ablations performed at Duke University. To assess improvement in abnormal uterine bleeding and quality of life measures after microwave endometrial ablations performed at Duke University. DesignRetrospective analysis of consecutive cases of microwave endometrial ablation. Retrospective analysis of consecutive cases of microwave endometrial ablation. SettingAn academic or tertiary clinic setting. An academic or tertiary clinic setting. PatientsTwenty-three females who underwent microwave endometrial ablation from November, 2003 through April, 2005. The vast majority of females had been referred to our clinic after failing medical therapies. Twenty-three females who underwent microwave endometrial ablation from November, 2003 through April, 2005. The vast majority of females had been referred to our clinic after failing medical therapies. InterventionMicrowave endometrial ablation in an ambulatory surgical setting. Microwave endometrial ablation in an ambulatory surgical setting. Measurements and Main ResultsData to be presented includes improvement in abnormal uterine bleeding and quality of life measures. Only 1 of 23 (4%) females failed or was unsatisfied with the MEA procedure. Those females who received pre-operative endometrial thinning agents had overall improved outcomes compared to those females who did not. One female with large myomas underwent MEA prior to uterine artery embolization, and at 3 month follow-up had a reduction from 14 days of bleeding to 3 days of bleeding. Data to be presented includes improvement in abnormal uterine bleeding and quality of life measures. Only 1 of 23 (4%) females failed or was unsatisfied with the MEA procedure. Those females who received pre-operative endometrial thinning agents had overall improved outcomes compared to those females who did not. One female with large myomas underwent MEA prior to uterine artery embolization, and at 3 month follow-up had a reduction from 14 days of bleeding to 3 days of bleeding. ConclusionMicrowave endometrial ablation provides an effective alternative to hysterectomy for females that fail medical management. Microwave endometrial ablation provides an effective alternative to hysterectomy for females that fail medical management.