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Thermal balloon ablation in patients with multiple morbidity: 3-year follow-up
Dusan Tóth1, Amelie Gervaise, Daniel Kuzel
1Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General Faculty Hospital, Prague, Czech Republic.
Study Objective:
To evaluate the effectiveness of a thermal uterine balloon therapy system in a specific group of patients with multiple morbidity.
Design:
Retrospective cohort analysis (Canadian Task Force classification II-2).
Setting:
Department of Obstetrics and Gynecology in two university teaching hospitals.
Patients:
Seventy women with severe systemic disease (American Association of Anesthesiologists physical status score >/= III) and severe menorrhagia.
Intervention:
Uterine balloon therapy under local anesthesia and 3 years of follow-up.
Measurements And Main Results:
The women had a mean age of 44.3 years (range, 24-76). After treatment, 25.7% of the patients had no bleeding, 45.7% hypomenorrhea, and 21.4% normal menstrual flow. The procedure was repeated successfully for one patient, and five failures (7.1%) were observed. The blood count values differed significantly (p <.001) before and after balloon therapy.
Conclusion:
Uterine balloon therapy is a suitable and useful option for women with severe uterine bleeding and concomitant severe systemic nongynecologic disease.