Evaluation of Hydro ThermAblator for endometrial destruction in patients with menorrhagia

Abstract

Objective. To describe endometrial destruction with the Hydro ThermAblator.Design, (Canadian Task Force classification II-1).Setting. University-affiliated hospital.Patients. Twenty-six women with uncontrolled menorrhagia.Intervention. Endometrial ablation with saline heated to 90 degrees C and circulated in the uterine cavity for 10 minutes under hysteroscopic control.Measurements and Main Results. All patients tolerated the procedure well, all but one was satisfied with the results, and there were no significant side effects or complications. Seventy-seven percent of women were either amenorrheic or hypomenorrheic after 6 months, and 88% were amenorrheic or hypomenorrheic after 1 year, including one patient who was treated a second time; 87.5% were amenorrheic or hypomenorrheic at 18 months. One woman had persistent menorrhagia and was treated by hysterectomy.Conclusion. In this study, endometrial ablation was performed successfully with the Hydro ThermAblator in 25 of 26 women.