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SAN DIEGO -- Hydrothermal ablation stopped persistent uterine hemorrhage in six women with large submucosal intrauterine myomas, Herbert A. Goldfarb, M.D., said at an international congress of the Society of Laparoendoscopic Surgeons.
These six patients traditionally would have required a transfusion and hysterectomy. Hydrothermal ablation (HTA) offers a more conservative approach, according to Dr. Goldfarb of New York University. Dr. Goldfarb also said he has no relationship with the company that makes the HTA system.
More than 3 million women in the United States complain of abnormal uterine bleeding each year. Approximately 25% of the 600,000 hysterectomies performed annually in this country are done to treat uterine bleeding, most commonly due to benign causes.
The six women treated with HTA by Dr. Goldfarb were severely anemic. Medical therapy with GnRH agonists and later with norethindrone acetate had failed to stop their bleeding.
"I've always used norethindrone acetate as the one stopgap that could stop women from bleeding," but it didn't work in these cases, Dr. Goldfarb said. None of the women could have undergone hysterectomy or ...
Source: HighBeam Research, HTA stops uterine hemorrhage due to fibroids.(Gynecology)