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Endometrial ablation by rollerball electrocoagulation compared to uterine balloon thermal ablation. Technical and
Ingrid A A van Zon-Rabelink1, Michel P H Vleugels, Hans M W M Merkus
1Department of Obstetrics and Gynecology, Medical Spectrum Twente, P.O. Box 50 000, 7500 KA, Enschede, The Netherlands. robinzon@wxs.nl
Objective:
To compare two methods of endometrial ablation, hysteroscopic rollerball electrocoagulation (RBE) and non-hysteroscopic uterine balloon thermal (UBT) ablation (Thermachoice), regarding intra- and post-operative technical complications and safety aspects.
Study Design:
A randomised controlled study in a teaching hospital, 139 pre-menopausal women with dysfunctional uterine bleeding proved by a validated menstrual score list were enclosed. Endometrial ablation by a hysteroscopic or non-hysteroscopic method was performed.
Results:
Rollerball electrocoagulation carries a significantly higher risk of intra-operative complications compared to uterine balloon thermal ablation and is a significantly more time consuming procedure. Post-operative complication rates in both groups were low, but post-operative analgesics were prescribed significantly more in the uterine balloon group.
Conclusion:
Endometrial ablation by uterine balloon thermal ablation (Thermachoice) is a safe and simple non-hysteroscopic procedure.