Endometrial destruction by thermal coagulation : Evaluation of a new form of treatment for menorrhagia
Friberg, Britt LU ; Persson, Bertil R.R. LU
; Willén, Roger
and Ahlgren, Mats
(1998)
In Gynaecological Endoscopy
7(2).
p.73-78
- Abstract
Objective. To report the first clinical evaluation of a new balloon endometrial, thermal destruction system Cavaterm®, for outpatient treatment of menorrhagia. Design. To elucidate possible technical problems during treatment, to evaluate how the patients tolerated the treatment and to judge which patients were suitable for this form of treatment. Main outcome measures. Measurements of bleeding volumes in pads and tampons before and after treatment were performed as well as subjective evaluation by bleeding charts. Patients also estimated their degree of satisfaction. Setting. Gynaecology department at a university hospital. Subjects. 36 patients under 52 pears of age with menorrhagia, without suspicion of intracavitary pathology... (More)
Objective. To report the first clinical evaluation of a new balloon endometrial, thermal destruction system Cavaterm®, for outpatient treatment of menorrhagia. Design. To elucidate possible technical problems during treatment, to evaluate how the patients tolerated the treatment and to judge which patients were suitable for this form of treatment. Main outcome measures. Measurements of bleeding volumes in pads and tampons before and after treatment were performed as well as subjective evaluation by bleeding charts. Patients also estimated their degree of satisfaction. Setting. Gynaecology department at a university hospital. Subjects. 36 patients under 52 pears of age with menorrhagia, without suspicion of intracavitary pathology including malignancy. Results. No procedure-related complications occurred. The patients tolerated the treatment well. There was a significant reduction in measured bleeding volumes in pads and tampons, collected during one menstruation, 2-7 months after treatment compared with measurements before treatment. Four patients subsequently underwent hysterectomy and should not have been included in the study (two with pedunculated myoma and one with a septum; the fourth showed premalignant endometrial changes in the curettage preceding the treatment). At 18-28-month follow up, 29 of the suitable patients (91%) reported a significant reduction in bleeding and another three patients reported reduced but still profuse bleeding compared with pretreatment; 88% (28/32) rated the treatment results as excellent, and a further 9% (3/32) as good. Conclusions. We found the Cavaterm® system for endometrial destruction to be safe, efficient and easy to use.
(Less)
- author
- Friberg, Britt
LU
; Persson, Bertil R.R.
LU
; Willén, Roger
and Ahlgren, Mats
- organization
- publishing date
- 1998-04
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Balloon, Endometrial destruction, Menorrhagia, Thermal coagulation
- in
- Gynaecological Endoscopy
- volume
- 7
- issue
- 2
- pages
- 73 - 78
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:0031923620
- ISSN
- 0962-1091
- DOI
- 10.1046/j.1365-2508.1998.00157.x
- language
- English
- LU publication?
- yes
- id
- d75268a5-7758-4740-adba-28d122858eb9
- date added to LUP
- 2020-05-12 12:26:59
- date last changed
- 2022-04-18 22:33:07
@article{d75268a5-7758-4740-adba-28d122858eb9,
abstract = {{<p>Objective. To report the first clinical evaluation of a new balloon endometrial, thermal destruction system Cavaterm®, for outpatient treatment of menorrhagia. Design. To elucidate possible technical problems during treatment, to evaluate how the patients tolerated the treatment and to judge which patients were suitable for this form of treatment. Main outcome measures. Measurements of bleeding volumes in pads and tampons before and after treatment were performed as well as subjective evaluation by bleeding charts. Patients also estimated their degree of satisfaction. Setting. Gynaecology department at a university hospital. Subjects. 36 patients under 52 pears of age with menorrhagia, without suspicion of intracavitary pathology including malignancy. Results. No procedure-related complications occurred. The patients tolerated the treatment well. There was a significant reduction in measured bleeding volumes in pads and tampons, collected during one menstruation, 2-7 months after treatment compared with measurements before treatment. Four patients subsequently underwent hysterectomy and should not have been included in the study (two with pedunculated myoma and one with a septum; the fourth showed premalignant endometrial changes in the curettage preceding the treatment). At 18-28-month follow up, 29 of the suitable patients (91%) reported a significant reduction in bleeding and another three patients reported reduced but still profuse bleeding compared with pretreatment; 88% (28/32) rated the treatment results as excellent, and a further 9% (3/32) as good. Conclusions. We found the Cavaterm® system for endometrial destruction to be safe, efficient and easy to use.</p>}},
author = {{Friberg, Britt and Persson, Bertil R.R. and Willén, Roger and Ahlgren, Mats}},
issn = {{0962-1091}},
keywords = {{Balloon; Endometrial destruction; Menorrhagia; Thermal coagulation}},
language = {{eng}},
number = {{2}},
pages = {{73--78}},
publisher = {{Wiley-Blackwell}},
series = {{Gynaecological Endoscopy}},
title = {{Endometrial destruction by thermal coagulation : Evaluation of a new form of treatment for menorrhagia}},
url = {{http://dx.doi.org/10.1046/j.1365-2508.1998.00157.x}},
doi = {{10.1046/j.1365-2508.1998.00157.x}},
volume = {{7}},
year = {{1998}},
}