Naše zkušenosti s termoablací endometriabalonovým katétrem Termachoice

Objective:
To evaluate our first experience with thermal balloon therapy of abnormal uterinebleeding.Design: Prospective study.Setting: Department of Obstetrics and Gynaecology, 1 st Medical Faculty, Charles University, Prague.Methods: Ten procedures of balloon thermal endometrial ablations were performed between Novem-ber 1998 and February 1999. From ten patients with abnormal uterine bleeding, 4 patients withconcomitant polymorbidity (sclerosis multiplex, hypertension, hepatopathia, pyelonephritis) wheremore invasive intervention was not recommended or was contraindicated. Treatment entailed con-trolled heating of intrauterine balloon. Local anaesthesia-paracervical block with analgosedationwas employed in 50% of procedures and general anaesthesia was employed in 50% of cases.Follow up after 3, 6, 12, 24 months is required. Success was defined as the reduction of menses toeumenorrhoea or less.Results: Preliminary results after 6 months follow up are successful in 100%; in 5 (50%) cases werecorded amenorrhoea, in 2 (20%) cases hypomenorrhoea and in 3 (30%) cases eumenorrhoea.Conclusion: Thermal balloon endometrial ablation appears to be safe due to its minimal invasivityespecially in patients with abnormal uterine bleeding with concomitant polymorbidity.

Klíčová slova:
hysteroscopy, endometrial ablation, intrauterine balloon