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Uterine balloon therapy for menorrhagia: a feasibility study of its use in the community setting
1The Sandyford Initiative, 6 Sandyford Place, Glasgow G3 7NB, UK. Kay.McAllister@glacomen.scot.nhs.uk
Objectives:
To determine whether uterine balloon therapy (UBT) for menorrhagia can be performed safely in the community setting, obviating the need for hospital admission or general anaesthesia.
Design:
Prospective case studies of 20 women undergoing Thermachoice endometrial ablation for menorrhagia.
Setting:
Glasgow Centre for Family Planning and Reproductive Health Care, Greater Glasgow Primary Care NHS Trust, Glasgow, UK.
Participants:
Twenty women with menorrhagia unresponsive to medical therapy.
Main Outcome Measures:
Pain levels experienced by women during the procedure, measured by visual analogue scores and analgesia requirements postoperatively.
Results:
Pain scores were in the range 0.1-6.6 (median 1.1) for outpatient hysteroscopy, compared to 0.1-9.8 (median 4.0) for uterine balloon therapy. No procedure was abandoned due to pain.
Conclusion:
UBT performed under local anaesthetic is tolerated well by patients. It is an effective treatment for menorrhagia, which is safe and easy to perform in the community setting.
