[Transcervical endometrium ablation with the roller ball method--an alternative to hysterectomy in therapy...

In 40 patients, indicated for hysterectomy because of refractory recurrent hypermenorrhea, a "roller-ball" coagulation of the endometrium was performed after exclusion of organic causes for hypermenorrhea by sonography, hysteroscopy and curettage. In 60% of the patients amenorrhoea occurred and in 37.5% hypomenorrhea was achieved. In one patient, the endometrial ablation had to be repeated twice because of persistent hypermenorrhea. There were no intra- or postoperative complications. Endometrial ablation using the Roller-Ball method can be an alternative method to hysterectomy in selected patients.