Open AccessMedium‐term clinical outcome of women with menorrhagia treated by rollerball endometrial ablation versus abdominal hysterectomy with conservation of at least one ovary
Author(s) -
Mousa Hatem A.,
Abou El Senoun Ghada M. S.,
Mahmood Tahir A.
Publication year - 2001
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1034/j.1600-0412.2001.d01-12.x
Subject(s) - medicine , hysterectomy , endometrial ablation , abdominal hysterectomy , quality of life (healthcare) , gynecology , obstetrics , patient satisfaction , ablation , surgery , nursing
Background. To compare patients’ satisfaction, health related quality of life, and sexual function among women who were either treated with rollerball endometrial ablation or abdominal hysterectomy with conservation of at least one ovary for the treatment of menorrhagia. Method. Between March 1992 to June 1997, 91 women underwent rollerball endometrial ablation and 78 women had abdominal hysterectomy with preservation of at least one ovary for the treatment of intractable menorrhagia. Each was sent a detailed questionnaire at least 18 months (range 18–60) after surgery. Case notes were reviewed to collect additional data relating to pre‐operative management and operative details. Results. Of 169 women, 120 (71%) returned a completed questionnaire [80/91 women (88%) had ablation and 40/78 women (51%) had hysterectomy]. Non‐response analysis did not reveal any differences in prognostic characteristics between responders and non‐responders. The length of hospital stay and time taken to return to normal daily activity were significantly less in the ablation group. Pre‐menstrual symptoms improved over time but more so in the hysterectomy group, who also rated their improvement in general health higher. Women who had hysterectomy were more satisfied (100% versus 79%) and would be more likely to recommend it to a friend (100% versus 91%). Conclusion. Both procedures are effective for the treatment of menorrhagia but hysterectomy is associated with better general health and fewer pre‐menstrual symptoms. Rollerball ablation is a useful alternative with many short term benefits and acceptable satisfaction rate. Further work is required to evaluate long term effects.