[New endometrial ablation techniques in the treatment of dysfunctional uterine bleeding]

Endometrial resection is a well-examined alternative therapy to hysterectomy in the treatment of abnormal uterine bleeding not associated with malignancy, that preserves the uterus at long term in at least 70% of patients. The new devices have been designed over the last decade, in response to demands from patients and practitioners. This review demonstrated that the second generation endometrial ablation techniques provide efficient and apparently safe endometrial ablation, are quicker to perform, and some may be more suitable for office treatment without the need for anesthesia, are simple to use and less skill dependent, and can, in properly selected cases, provide good results. Preprocedure counseling of patients, including the expected postoperative course and the known procedural risks, is important for adequate informed consent.