The effectiveness of outpatient Thermachoice endometrial balloon ablation: A long-term 11-year outcome study

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The effectiveness of outpatient Thermachoice endometrial balloon ablation : A long-term 11-year outcome study. / Kumar, Vinod; Gupta, Janesh Kumar.

In: Gynecological Surgery, Vol. 10, No. 4, 11.2013, p. 261-265.

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@article{dd393870f675457e89911b612d7186b5,
title = "The effectiveness of outpatient Thermachoice endometrial balloon ablation: A long-term 11-year outcome study",
abstract = "The aim of this study was to evaluate the long-term treatment outcomes of outpatient Thermachoice balloon endometrial ablation under a direct local anaesthetic cervical block (LA-Thermachoice). This paper is a prospective cohort study and a postal questionnaire survey in a UK teaching hospital with the participation of 253 women with heavy menstrual bleeding (HMB) undergoing LA-Thermachoice over an 11-year period between 2001 and 2011. Treatment success was measured by postoperative bleeding patterns, improvement in dysmenorrhoea, patient satisfaction and post-procedure hysterectomy rates. LA-Thermachoice was completed in 98 % of women. The survey response rate was 78 %. The median follow-up interval was 71 months (SD 42). Seventy-nine percent of the responders reported significant improvement in HMB with 40 % amenorrhoea rate and 86 % improvement in dysmenorrhoea. Eighty-one percent felt that the benefit of procedure was maintained over a long period of time. Eighty-six percent of women were satisfied with the outcome of their procedure. The case notes of non-responders were examined to check if any had undergone hysterectomy since the LA-Thermachoice procedure. In total, only 16 % of women had a hysterectomy. This study represents the largest published series of local anaesthetic thermal endometrial ablation, reporting clinical outcomes with 11 years (median 71 months) of post-treatment follow-up. It demonstrates that the patient satisfaction with LA-Thermachoice is high, and is maintained over a long period of time after the procedure.",
keywords = "Heavy menstrual bleeding, Patient satisfaction, Questionnaire, Surgical management, Thermachoice endometrial ablation",
author = "Vinod Kumar and Gupta, {Janesh Kumar}",
year = "2013",
month = nov,
doi = "10.1007/s10397-013-0809-1",
language = "English",
volume = "10",
pages = "261--265",
journal = "Gynecological Surgery",
issn = "1613-2076",
publisher = "Springer",
number = "4",

}

RIS

TY - JOUR

T1 - The effectiveness of outpatient Thermachoice endometrial balloon ablation

T2 - A long-term 11-year outcome study

AU - Kumar, Vinod

AU - Gupta, Janesh Kumar

PY - 2013/11

Y1 - 2013/11

N2 - The aim of this study was to evaluate the long-term treatment outcomes of outpatient Thermachoice balloon endometrial ablation under a direct local anaesthetic cervical block (LA-Thermachoice). This paper is a prospective cohort study and a postal questionnaire survey in a UK teaching hospital with the participation of 253 women with heavy menstrual bleeding (HMB) undergoing LA-Thermachoice over an 11-year period between 2001 and 2011. Treatment success was measured by postoperative bleeding patterns, improvement in dysmenorrhoea, patient satisfaction and post-procedure hysterectomy rates. LA-Thermachoice was completed in 98 % of women. The survey response rate was 78 %. The median follow-up interval was 71 months (SD 42). Seventy-nine percent of the responders reported significant improvement in HMB with 40 % amenorrhoea rate and 86 % improvement in dysmenorrhoea. Eighty-one percent felt that the benefit of procedure was maintained over a long period of time. Eighty-six percent of women were satisfied with the outcome of their procedure. The case notes of non-responders were examined to check if any had undergone hysterectomy since the LA-Thermachoice procedure. In total, only 16 % of women had a hysterectomy. This study represents the largest published series of local anaesthetic thermal endometrial ablation, reporting clinical outcomes with 11 years (median 71 months) of post-treatment follow-up. It demonstrates that the patient satisfaction with LA-Thermachoice is high, and is maintained over a long period of time after the procedure.

AB - The aim of this study was to evaluate the long-term treatment outcomes of outpatient Thermachoice balloon endometrial ablation under a direct local anaesthetic cervical block (LA-Thermachoice). This paper is a prospective cohort study and a postal questionnaire survey in a UK teaching hospital with the participation of 253 women with heavy menstrual bleeding (HMB) undergoing LA-Thermachoice over an 11-year period between 2001 and 2011. Treatment success was measured by postoperative bleeding patterns, improvement in dysmenorrhoea, patient satisfaction and post-procedure hysterectomy rates. LA-Thermachoice was completed in 98 % of women. The survey response rate was 78 %. The median follow-up interval was 71 months (SD 42). Seventy-nine percent of the responders reported significant improvement in HMB with 40 % amenorrhoea rate and 86 % improvement in dysmenorrhoea. Eighty-one percent felt that the benefit of procedure was maintained over a long period of time. Eighty-six percent of women were satisfied with the outcome of their procedure. The case notes of non-responders were examined to check if any had undergone hysterectomy since the LA-Thermachoice procedure. In total, only 16 % of women had a hysterectomy. This study represents the largest published series of local anaesthetic thermal endometrial ablation, reporting clinical outcomes with 11 years (median 71 months) of post-treatment follow-up. It demonstrates that the patient satisfaction with LA-Thermachoice is high, and is maintained over a long period of time after the procedure.

KW - Heavy menstrual bleeding

KW - Patient satisfaction

KW - Questionnaire

KW - Surgical management

KW - Thermachoice endometrial ablation

UR - http://www.scopus.com/inward/record.url?scp=84888286118&partnerID=8YFLogxK

U2 - 10.1007/s10397-013-0809-1

DO - 10.1007/s10397-013-0809-1

M3 - Article

AN - SCOPUS:84888286118

VL - 10

SP - 261

EP - 265

JO - Gynecological Surgery

JF - Gynecological Surgery

SN - 1613-2076

IS - 4

ER -