PATIENT SATISFACTION FOLLOWING TRANSCERVICAL RESECTION OF THE ENDOMETRIUM

Menorrhagia affects 20-30% of healthy women, many of whom undergo hyst erectomy, In recent years, transcervical resection of the endometrium (TCRE) has become an alternative surgical option, This observational s tudy assesses patient satisfaction following TCRE, The case notes of 5 5 patients who had a TCRE in the Coombe Womens' Hospital, Dublin, in 1 992 were reviewed. Patients were sent a postal questionnaire at an int erval ranging from 3 to 15 months post TCRE, 49 patients responded, of whom 76% were satisfied with TCRE, Thirty one per cent experienced am enorrhoea, 55% hypomenorrhoea, and 14% had no change in menstrual bloo d loss, Twenty two per cent required subsequent treatment, The complic ation rate was 11% (2 uterine perforations, 3 endometritis, 1 laparosc opic wound infection), We conclude that TCRE is an effective and safe treatment for menorrhagia, and is associated with a high rate of patie nt satisfaction.