Abstract
Objective To compare the safety and efficacy of single end-point coagulator versus T-shaped sliding coagulator used for tactile electrosurgical endometrial ablation (TEEA) in stopping or decreasing active resistant perimenopausal intrauterine ball (IUB). Patients and methods In this study, 50 cases with perimenopausal IUB not responding to medical or hormonal treatment were included, comprising 25 treated by using single end-point coagulator, whereas the other 25 treated by T-shaped sliding coagulator. Outcomes depended on which technique is better regarding immediate stopping of bleeding, need for another TEEA, or need for hysterectomy. Results Duration of operation in T-shaped sliding coagulator was ∼5 min, and bleeding immediately stopped in 22 of 25 cases. Follow-up of those cases for 12 months revealed that 11 of them had developed amenorrhea, seven developed minimal bleeding, five developed regular menses, one required another TEEA, whereas one required hysterectomy. Duration of operation in single end-point coagulator was ∼10 min, and bleeding immediately stopped in 15 of 25 cases. Follow-up of those cases for 12 months revealed that three of them had developed amenorrhea, nine developed minimal bleeding, nine developed regular menses, three required another TEEA, whereas one required hysterectomy. Conclusion TEEA is an easy, almost costless, rapid, and effective procedure in treating active perimenopausal IUB. Overall results showed that the T-shaped sliding coagulator (first procedure) is better than single end-point coagulator (second procedure). However, more studies with large number of cases are recommended to confirm its safety and effectiveness.
Published Version
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