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Hysteroscopic surgery in postmenopausal women
L Cravello1, R de Montgolfier, C D'Ercole
1Department of Obstetrics and Gynecology B, La Conception Hospital, Marseilles, France.
Acta Obstetricia Et Gynecologica Scandinavica
|July 1, 1996
Summary
Hysteroscopic surgery effectively treats abnormal uterine bleeding in postmenopausal women. This minimally invasive approach offers long-term satisfaction and should consider bleeding causes, not just age.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Abnormal uterine bleeding (AUB) is a common concern in postmenopausal women.
- Hysteroscopic surgery offers a potential treatment option for AUB.
Purpose of the Study:
- To evaluate the long-term efficacy of hysteroscopic surgery for abnormal uterine bleeding in postmenopausal women.
Main Methods:
- Retrospective audit of 102 postmenopausal women (ages 47-67) with AUB.
- Procedures included polyp/fibroid resection and endometrial ablation.
- Diagnostic hysteroscopy and pelvic ultrasound were used for evaluation.
Main Results:
- 87 patients had benign organic causes (51 polyps, 36 fibroids).
- Major complications were rare (1 perforation, 1 glycine toxicity).
- 88% of patients were satisfied; 6 required hysterectomy, 6 had recurrent bleeding.
Conclusions:
- Hysteroscopic surgery is an effective long-term treatment for AUB in postmenopausal women.
- Treatment criteria should focus on the cause of bleeding, not solely patient age.