Abstract
To evaluate outcomes and hysteroscopic endometrial ablation challenge in Assuit University Hospital. Descriptive study. Woman’s Health Hospital a tertiary health center in upper Egypt. Fifty premenopausal women complaining of dysfunction uterine bleeding. Number of occasions where hysteroscopic endometrial ablation was achieved without intra-operative or technical complications. (1) Number of occasions where hysteroscopic endometrial ablation was not possible. (2) Causes of inability to achieve hysteroscopic endometrial ablation and methods used to overcome these causes. (3) Postoperative outcomes at 1 year follow up. Among 50 premenopausal women included in the study, hysteroscopic endometrial ablation was achieved in 41 cases (82%), 31 (62%) cases of them by the primary prepared hysteroscopic instruments and 10 cases (20%) by backup instruments. Tactile endometrial ablation was used as a backup method for hysteroscopic failures in 8 (16%) cases; and one (2%) woman had undergone a hysterectomy. Although hysteroscopic endometrial ablation is simple and feasible procedure, yet due to financial constrains in many occasions inability to complete the procedure as was intended can occur.
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