Transcervical endometrial resection when hysterectomy is dangerous

Area of Science:

• Gynecology
• Minimally Invasive Surgery
• Reproductive Medicine

Background:

• Dysfunctional uterine bleeding (DUB) can cause severe hemorrhage, often refractory to medical management.
• Hysterectomy is frequently the sole remaining treatment option for severe DUB.
• In specific cases, hysterectomy poses significant risks, necessitating alternative interventions.

Observation:

• Two young women presented with severe DUB unresponsive to medical therapy.
• Hysterectomy was considered a hazardous procedure for these patients.
• Transcervical endometrial resection was performed as an alternative surgical approach.

Findings:

• Both patients experienced immediate cessation of uterine bleeding post-procedure.
• No further medical or surgical treatment for DUB was required.
• Sustained amenorrhea exceeding six months was achieved in both cases.

Implications:

• Transcervical endometrial resection presents a viable alternative for managing severe DUB when hysterectomy is contraindicated.
• This minimally invasive technique offers rapid symptom control and long-term amenorrhea.
• Endometrial resection provides a less hazardous option for women with severe bleeding disorders.