Related Experiment Video
Updated: Jun 13, 2026
Fertility Sparing Procedure using Carbon Dioxide Fiber Laser Vaporization of Ovarian Endometrioma
Published on: July 6, 2022
Endometrial thermal balloon ablation in women with previous cesarean delivery: pilot study
Aparna Gangadharan1, Ariel Revel, Asher Shushan
1Department of Obstetrics and Gynecology, Hadassah University Hospital, Jerusalem, Israel.
Study Objective:
To evaluate the safety and efficacy of thermal balloon ablation in the management of menorrhagia in women with history of cesarean delivery.
Design:
Descriptive study (Canadian Task Force classification II-2).
Setting:
Tertiary care university hospital.
Patients:
One hundred sixteen premenopausal women with dysfunctional uterine bleeding were offered endometrial thermal balloon ablation. This group included 26 women who had previously delivered via cesarean section (CS): 11 women with 1 CS, 8 women with 2 CS, 4 women with 3 CS, 2 women with 4 CS, and 1 woman with 5 CS.
Intervention:
Endometrial thermal balloon ablation.
Measurements And Main Results:
One hundred thirteen procedures were completed successfully; in 3 women, the procedure could not be completed. There were no major immediate operative complications. Sixteen patients (13.8%) required further gynecologic interventions after ablation: hysterectomy in 15, and dilation and curettage in 1. This included 13 women (14.4%) in the group with no previous CS and 3 women (11.5%) in the group with previous CS.
Conclusion:
Within the limitations of this preliminary study, endometrial thermal balloon ablation seems to be a possible therapeutic option for treatment of dysfunctional uterine bleeding in women with previous cesarean delivery.
