Five-year follow-up after comparing bipolar endometrial ablation with hydrothermablation for menorrhagia

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dc.contributor.authorPenninx, J.
dc.contributor.authorHerman, M.
dc.contributor.authorMol, B.
dc.contributor.authorBongers, M.
dc.date.issued2011
dc.description.abstractOBJECTIVE: To evaluate the results of a previous study comparing bipolar radiofrequency endometrial ablation with hydrothermablation for the treatment of menorrhagia at 5-year follow-up. METHOD: A double-blind, randomized, controlled trial was performed in a large teaching hospital in the Netherlands between March 2005 and August 2007. One-hundred sixty women with menorrhagia were randomly allocated to bipolar ablation or hydrothermablation. The results of follow-up at 12 months were previously reported. At 4–5 years of follow-up, a questionnaire was sent to all the participants to register amenorrhea rates, reinterventions, and patient satisfaction. RESULTS: At 5-year follow-up, response rates were 90% and 83% in the bipolar group and hydrotherm group, respectively. Amenorrhea rates were 55.4% and 35.3% in the bipolar group and the hydrotherm group, respectively (relative risk [RR] 1.5, 95% confidence interval [CI] 1.05–2.3). The number of surgical reinterventions was 11 compared with 23 (RR 0.43, 95% CI 0.23–0.80). Overall, more women were satisfied in the bipolar group compared with the hydrotherm group. CONCLUSION: After treatment, bipolar radiofrequency endometrial ablation system is more effective at 5 years than hydrothermablation in the treatment of menorrhagia. LEVEL OF EVIDENCE: II
dc.description.statementofresponsibilityJosien P. Penninx, Malou C. Herman, Ben W. Mol, and Marlies Y. Bongers
dc.identifier.citationObstetrics and Gynecology, 2011; 118(6):1287-1292
dc.identifier.doi10.1097/AOG.0b013e318236f7ed
dc.identifier.issn0029-7844
dc.identifier.issn1873-233X
dc.identifier.orcidMol, B. [0000-0001-6887-0262] [0000-0001-8337-550X]
dc.identifier.urihttp://hdl.handle.net/2440/86320
dc.language.isoen
dc.publisherLippincott, Williams & Wilkins
dc.rights© 2011 by The American College of Obstetricians and Gynecologists
dc.source.urihttps://doi.org/10.1097/aog.0b013e318236f7ed
dc.subjectHumans
dc.subjectMenorrhagia
dc.subjectReoperation
dc.subjectFollow-Up Studies
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectPatient Satisfaction
dc.subjectFemale
dc.subjectEndometrial Ablation Techniques
dc.titleFive-year follow-up after comparing bipolar endometrial ablation with hydrothermablation for menorrhagia
dc.typeJournal article
pubs.publication-statusPublished

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