The incidence of fallopian tube patency after transcervical resection of the endometrium including rollerball diathermy to the tubal ostia
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This study investigated the incidence of fallopian tube patency following transcervical endometrial resection that included rollerball diathermy to the tubal ostia.
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Abstract
OBJECTIVE: To evaluate the incidence of tubal patency as well as the shape of the endometrial cavity after transcervical resection of the endometrium.
DESIGN: An open observational trial.
SETTING: The obstetrics and gynecology unit at a district hospital in Norway.
PATIENTS: Fifty consecutive patients who had undergone treatment for menorrhagia and metrorrhagia by resection of the endometrium and coagulation of the tubal ostium were included in the study.
INTERVENTION: A hysterosalpingogram was performed with a semistiff catheter and injection of 20 mL contrast dye 5 to 12 months after transcervical resection of the endometrium and fibroids.
MAIN OUTCOME MEASURES: Tubal patency and uterine cavity morphology.
RESULTS: Forty-four patients showed total occlusion of the fallopian tubes, and the uterine cavity showed fibrosis and narrowing of the cavity. Three patients showed bilateral and three patients unilateral tubal patency.
CONCLUSION: Shrinkage and fibrosis of the uterine cavity occur after endometrial resection. A significant number of women after transcervical resection of the endometrium have patient tubes (13%) despite coagulation of the tubal ostia.
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Cites (1)
Cited by (4)
- Transcervical endometrial resection: long-term results of 390 procedures 2006
- Endometrial thermal coagulation--degree of uterine fibrosis predicts treatment outcome 1998
- Partial rollerball endometrial ablation: a modification of total ablation to treat menorrhagia without causing complications from intrauterine adhesions 1999
- Long-term impact and risk factors for hysterectomy after hysteroscopic surgery for menorrhagia 2006
References (3)
Cited by (4)
- Long-term impact and risk factors for hysterectomy after hysteroscopic surgery for menorrhagia 2006
- Transcervical endometrial resection: long-term results of 390 procedures 2006
- Partial rollerball endometrial ablation: a modification of total ablation to treat menorrhagia without causing complications from intrauterine adhesions 1999
- Endometrial thermal coagulation--degree of uterine fibrosis predicts treatment outcome 1998
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