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Factors influencing long-term outcome of loop endometrial resection
Tirso Pérez-Medina1, Javier Haya, Luis San Frutos
1Department of Gynecology and Obstetrics, Santa Cristina University Hospital, C/O'Donnell, 59, 28009 Madrid, Spain.
Study Objective:
To analyze factors that contribute to long-term success of loop endometrial resection (ER).
Design:
Observational cohort study (Canadian Task Force classification II-2).
Setting:
Tertiary care university hospital.
Patients:
Two hundred eighty-six premenopausal women with menometrorrhagia resistant to medical treatment.
Intervention:
Loop endometrial resection.
Measurements And Main Results:
Mean follow-up was 47 months. Life table analysis with log rank test was determined to calculate the risk of hysterectomy after ER. Patient age, length of follow-up, adenomyosis, and uterine size were analyzed independently. More than 75% of patients benefited from the procedure, avoiding hysterectomy after 5 years.
Conclusion:
Length of follow-up, patient age, and the presence of adenomyosis strongly influence the long-term success of ER. The procedure should be considered an intermediate step between medical treatment and hysterectomy.
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