New-onset pelvic organ prolapse after Novasure endometrial ablation

Elena Tunitsky, E. Tunitsky, Kristin Dardano, Kristin L. Dardano, Ozgür H Harmanli, Özgür H. Harmanli
Archives of gynecology and obstetrics · 2008 · vol. 278(2) , pp. 187–189 · doi:10.1007/s00404-007-0546-7 · PMID:18196256 · W2006114120
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A 45-year-old woman developed symptomatic Stage 3 pelvic organ prolapse one month after undergoing Novasure endometrial ablation for dysfunctional uterine bleeding.

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Abstract

BACKGROUND: Endometrial ablation with bipolar radiofrequency energy (NovaSure) for dysfunctional uterine bleeding has gained wide acceptance due to its ease and efficacy. CASE: A 45-year-old, gravida three, para two, female developed symptomatic Stage 3 pelvic organ prolapse (POP) 1 month after endometrial ablation using NovaSure. CONCLUSION: To our knowledge, this is the first published case of new-onset POP briefly after an endometrial ablation. It is not clear whether there is a causal association between the ablation procedure and de novo POP. Should there be any additional cases of de novo POP post endometrial ablation, further investigation would be warranted.

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MeSH descriptors

Catheter Ablation Metrorrhagia Uterine Prolapse Catheter Ablation Female Humans Metrorrhagia Middle Aged Uterine Prolapse Uterine Prolapse

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