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Endometrial ablation with the Cavaterm thermal balloon
1Department of Obstetrics and Gynaecology, Conquest Hospital, St Leonards-on-Sea, UK.
Summary
Thermal balloon endometrial ablation with the Cavaterm system effectively treats dysfunctional uterine bleeding. This safe procedure offers high patient satisfaction and favorable outcomes for menorrhagia management.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Dysfunctional uterine bleeding (DUB) significantly impacts women's quality of life.
- Effective and safe treatment options for menorrhagia are crucial.
Purpose of the Study:
- To evaluate the efficacy and safety of Cavaterm thermal balloon endometrial ablation for DUB.
- To assess patient satisfaction and long-term outcomes.
Main Methods:
- Prospective observational study involving 77 women with DUB.
- Treatment involved transcervical insertion of a 9-mm balloon catheter, inflated with heated glycine (75°C) for 15 minutes.
- General anesthesia was administered.
Main Results:
- No intra-operative complications were reported; patients tolerated the procedure well.
- High patient satisfaction rates of 90% at 12 and 24 months.
- At 24 months, 46% achieved amenorrhea, 39% had light periods, 10% heavy periods, and 5% normal periods.
Conclusions:
- Cavaterm balloon ablation is a safe and effective treatment for menorrhagia.
- The procedure requires no specialized hysteroscopy training and is comparable to established methods.