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Women with abnormal bleeding: cryoablation more effective in smaller uteri 1 year after TX.(Gynecology)
LAS VEGAS -- Uterine size affects cryoablation results, with better outcomes in smaller uteri, Dr. Raffaele Bruno said at the annual meeting of the American Association of Gynecologic Laparoscopists.
At 1-year follow-up, of 112 women with abnormal bleeding who underwent hysteroscopy, endometrial sampling, and cryoablation of the endometrium under ultrasound guidance, 54 reported amenorrhea or spotting, 35 had hypomenorrhea, and 14 reported eumenorrhea. Nine women said cryoablation failed to improve bleeding.
Stratifying results by uterine size showed that "the smaller the uterus, the more successful the technique," said Dr. Bruno of the Lahey Clinic, Burlington, Mass.
Cryoablation led to amenorrhea in approximately 70% of uteri with a sounding depth of less than 9 cm, 35% of uteri with a sounding depth of 9-10 cm, and 25% of uteri with a sounding depth of 10-11 cm. In very large uteri with a sounding depth of 11 cm or greater, 10% achieved amenorrhea and at least 60% ...
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Source: HighBeam Research, Women with abnormal bleeding: cryoablation more effective in smaller...