Printer Friendly

HTA stops uterine hemorrhage due to fibroids.

SAN DIEGO -- Hydrothermal ablation stopped persistent uterine hemorrhage in six women with large submucosal intrauterine myomas, Herbert A. Goldfarb, M.D., said at an international congress of the Society of Laparoendoscopic Surgeons.

These six patients traditionally would have required a transfusion and hysterectomy. Hydrothermal ablation (HTA) offers a more conservative approach, according to Dr. Goldfarb of New York University. Dr. Goldfarb also said he has no relationship with the company that makes the HTA system.

More than 3 million women in the United States complain of abnormal uterine bleeding each year. Approximately 25% of the 600,000 hysterectomies performed annually in this country are done to treat uterine bleeding, most commonly due to benign causes.

The six women treated with HTA by Dr. Goldfarb were severely anemic. Medical therapy with GnRH agonists and later with norethindrone acetate had failed to stop their bleeding.

"I've always used norethindrone acetate as the one stopgap that could stop women from bleeding," but it didn't work in these cases, Dr. Goldfarb said. None of the women could have undergone hysterectomy or myomectomy without a blood transfusion.

Instead, HTA stopped the hemorrhaging in all six women by circulating saline solution heated to 90[degrees] C in the uterus for 10 minutes.

The hydrothermal ablation procedure can be directly visualized. Dr. Goldfarb noted that this gives it an advantage over some other techniques used for uterine ablation.

After the hemorrhaging was stopped and hemoglobin levels improved, some of the women went on to have a hysterectomy. Other women refused hysterectomy and have been followed without further surgery. No long-term data are available yet on the latter group of women.

Hydrothermal ablation "doesn't necessarily replace hysterectomy" but it can prevent the need for transfusion and emergency hysterectomy, Dr. Goldfarb told physicians at the meeting. "It's safe, quick, and effective, and it gives you time to decide how you want to treat this patient," he said.

One physician who attended the meeting said that he had had success in stopping uterine hemorrhaging in similar cases by using the NovaSure system, which ablates the uterus via a bipolar electrode.


San Francisco Bureau
COPYRIGHT 2005 International Medical News Group
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:Gynecology
Author:Boschert, Sherry
Publication:OB GYN News
Date:Nov 1, 2005
Previous Article:HT product with drospirenone wins approval.
Next Article:Laparoscopy can be safe option in infertility cases.

Related Articles
Genetic culprit: mutation increases risk for uterine fibroids.
Endometrial ablation for fibroids under study. (Off-Label Treatment).
Study links UAE, pregnancy risks: compared with laparoscopic myomectomy.
Mifepristone shrinks uterine fibroids.
At 5 years, UAE for fibroids effective in 73%.
Fibroid embolization pays off for radiologists, insurers.
Hysteroscopic myomectomy safe and easy.
FDA Clears ExAblate Fertility Enhancement Study in Women With Uterine Fibroids.
FDA Clears ExAblate Fertility Enhancement Study in Women With Uterine Fibroids.

Terms of use | Copyright © 2018 Farlex, Inc. | Feedback | For webmasters