Complications, Bleeding and Satisfaction of Patients with Abnormal Uterine Bleeding through the Integration of Endometrial Degradation and Thermal Balloon Therapy
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Zinat Sadat Bouzari , Tahereh Ashraf Ganjoei , Shahla Yazdani * , Ali Bijani , Samira Azimi |
, shahla_yazdani_1348@yahoo.com |
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Abstract: (12400 Views) |
BACKGROUND AND OBJECTIVE: In the patients diagnosed with
abnormal uterine bleeding, if the patient does not respond to drug treatment or
is not a good candidate for hysterectomy, endometrial destruction is
recommended. The aim of this study was to evaluate complications, blood loss
and patient satisfaction regarding this method of treatment.
METHODS: This
retrospective study was performed on 56 women who admitted to Ayatollah Roohani
Hospital of Babol and Imam Hossein Hospital in Tehran, Iran. Upon the diagnosis
of abnormal uterine bleeding, they underwent a treatment called
"endometrial destruction by thermal balloon". A questionnaire
including the following items was completed after the sugery: demographic
characteristics, menstrual status, postoperative complications, treatment
success and a 12-month post-surgery patient satisfaction. In order to assess
the patients’ satisfaction, 4 questions were asked (excellent, good, fair,
poor). Successful treatment was defined as 6 months of amenorrhea after treatment with cavaterm and a reduction
in the menstrual blood loss in the form of spotting or volume degression.
FINDINGS: Of the 56 patients who were treated
with balloon thermal endometrial destruction, 4 were excluded due to the lack
of follow-up. The mean age of the patients was 91/5±38/43 years. No
complications occurred in any of the new patients, and the percentage of
amenorrhea was 23 after the treatment. Twelve months after the surgery, the
success of treatment was reported in 46 patients (5/88%) and patient satisfaction
was also rated in 45 of the patients (5/86%).
CONCLUSION: The
results of the study showed that the thermal balloon treatment had no major
side effects. Thus, it could be inferred that the study was a success in terms
of the outcomes and high patient satisfaction. This method could be taken into
consideration before a hysterectomy. |
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Keywords: KEY WORDS: Hysterectomy, Endometrial destruction, Uterine bleeding. |
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Full-Text [PDF 260 kb]
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Type of Study: Research |
Subject:
Biochemical Received: 2014/12/17 | Accepted: 2014/12/17 | Published: 2014/12/17
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