Repeat Resection Of Endometrium Safe and Effective.
Of 750 women who underwent primary transcervical resection of the endometrium (TCRE) for dysfunctional uterine bleeding, 114 required a repeat resection, according to a retrospective analysis.
The most common reason for repeat resection was pain, which was a problem in 42% of the patients. Other reasons included heavy bleeding (39%), the development of fibroids (13%), perforation at the time of the primary TCRE (5%), and fluid deficit (5%), said Dr. Istre of Ullevaal University Hospital, Oslo. Of the 114 who underwent repeat resection, 26% eventually required a hysterectomy.
Nonetheless, the repeat resection was safe in these patients and was effective for the remaining 74% of patients in whom the resection was successful. The 30 women who eventually underwent hysterectomy most often did so because of pain. Other reasons included persistent bleeding and fibroids.