AI Article Synopsis
- The study examined 121 patients with abnormal uterine bleeding who were resistant to progestogen therapy and had adenomyosis, focusing on their outcomes after loop endometrial ablation.
- The success rates were 56% after one procedure and 67% after one or two procedures, with an 11% reoperation rate noted.
- Despite some patients requiring hysterectomies due to bleeding recurrence, adenomyosis generally did not prevent successful outcomes from endometrial ablation, except in cases of deep adenomyosis.
Article Abstract
The authors report the results of a retrospective series concerning 121 patients who presented abnormal uterine bleeding resistant to progestogen therapy. These patients were adenomyosis carriers and who underwent loop endometrial ablation. Over a maximum period of 8 years, the success rate was 56% following one endometrial resection and 67% following one or two resections. The study recorded a repeat resection level of 11%. Seventeen hysterectomies (19%) were performed because of the recurrence of abnormal uterine bleeding. These results are comparable to those observed in endometrial ablation performed for menorrhagia, all benign etiology included. Adenomyosis does not appear to be a factor in the failure of endometrial ablation, except in the case of deep adenomyosis which is difficult to diagnose pre-operatively.
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