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Published on: August 2, 2024
Long-term efficacy of transcervical endometrial resection with no preoperative hormonal preparation
Béla G Molnár1, Zsolt Kormányos, László Kovács
1Department of Obstetrics and Gynaecology, Consultant Obstetrician and Gynaecologist, University of Szeged, Semmelweis u. 1, H-6725 Szeged, Hungary. molnargb@vnet.hu
Objective:
To assess the level of patient satisfaction after transcervical endometrial resection (TCRE) with no preoperative hormonal preparation.
Study Design:
A retrospective audit of a continuous case series was accomplished on 131 consecutive patients who underwent TCRE for dysfunctional uterine bleeding. Data of postal questionnaires were analysed and subjected to survival analysis.
Results:
Thirty-three cases were lost to follow-up; thus, the data on 98 of the 131 (74.8%) patients were analysed. The average follow-up period was 94.8 months (60-132). Twenty (20.4%) women required D&C and 15 (15.3%) had hysterectomy. In eight of the 15 cases, the indication for hysterectomy was not related with the primary operation. The chance of avoiding hysterectomy reached a plateau after 72 months, at 78.3% (SE: 5.05%). The chance of avoiding D&C at up to 36 months was 98.6% (SE: 1.4%), and reached a plateau after 107 months at 67.11% (SE: 6.1%); 55.8% of the patients became amenorrhoeic, the remaining cases reporting good improvements in the amount and duration of bleeding, and dysmenorrhoea. Eighty-six of the 98 patients (88%) were satisfied or very satisfied with the result.
Conclusions:
TCRE affords reasonable long-term effectiveness in the treatment of dysfunctional uterine bleeding, even without any preoperative hormonal endometrial preparation.
