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Microwave endometrial ablation effective in irregular uteri. (Device not yet Approved in the U.S.).

OB GYN News

| February 01, 2002 | Boschert, Sherry | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SAN FRANCISCO -- Microwave ablation seems to effectively destroy endometrium and treat abnormal uterine bleeding in women with irregular uteri, a prospective, observational study suggests.

Two women with bicornuate uteri and 123 women with at least one submucosal myoma, including 32 with multiple myomas, underwent microwave endometrial ablation after preoperative ultrasound examination and hysteroscopy to ensure that most of the myoma did not lie within the uterine cavity. All had normal endometrial histology Dr. Michael A. Ellard said at the annual meeting of the American Association of Gynecologic Laparoscopists.

Only women with myomas measuring a maximum diameter of 5 cm were accepted for treatment. The mean diameter of myomas was 3 cm.

Results for the 125 women with irregular uteri were compared with results from microwave endometrial ablation in 535 women with regular uteri. One year after ablation, 28% of women with irregular uteri and 37% of women with regular uteri reported amenorrhea. Five years after ablation, 50% of women with irregular uteri and 45% of women with regular uteri were amenorrheic, ...

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