FACTORS AFFECTING RISK OF FAILURE AFTER ENDOMETRIAL RESECTION

From January 1989 to December 1990, 196 patients were treated by hyste roscopic endometrial resection for abnormal uterine bleeding. A survey in February 1993 revealed a satisfaction rate of 82%. Persistence of abnormal bleeding after resection was the most common problem reported , although in 32% of these cases, the bleeding commenced after a perio d of at least 2 years in remission. A more precise clinical and pathol ogic study was performed in 22 cases of hysterectomy for failure after resection. Two major risk factors became evident: enlarged uterine si ze and the presence of adenomyosis.