Letters.

Endometrial Ablation

I was glad to see the report on newer technology that has long been needed in our field ("Two New Endometrial Ablation Devices Approved," June 1, 2001, p. 4).

We still perform too many hysterectomies, and we should look for alternatives for our patients. I am disappointed, however, that you did not report accurately on the Her Option procedure. As the lead physician in the country with this procedure, I am confused about some of the comments made by those quoted in the article.

I've performed 150 of these procedures and am able to see the "CryoZone" at all times. This is the only procedure that allows you to see the inside of the uterus, the myometrium, and the serosal surface all at one time. As the CryoZone grows, you can see it advance through all of the layers.

I am unable to comment on the visualization of the Hydro ThermAblator procedure as I have not performed it to date. As an experienced hysteroscopist, I can tell you that I have only been able to see just the inside of the uterus.

I totally disagree with the person you quoted who said you need to be an expert in ultrasound to see what you are doing during the Her Option procedure. The pictures are so basic that even the nurses can see the CryoZones as the procedure is performed. I have never had any problem positioning the probe, and have never thought that I had poor probe placement.

Having performed many endometrial ablation-type procedures over the past 15 years, I have not found any better technology than Her Option. This procedure gets the deepest penetration of all. This new operative tool is adaptable and will offer gynecologists a new way to take care of many problems that we are faced with daily.