TRANSCERVICAL ENDOMETRIAL ABLATION WITH T HE ROLLER-BALL METHOD - AN ALTERNATIVE METHOD TO HYSTERECTOMY IN PATIENTS SUFFERING FROM REFRACTORY HYPERMENORRHOEA - 1ST EXPERIENCES

In 40 patients, indicated for hysterectomy because of refractory recur rent hypermenorrhoea, a ''roller-ball'' coagulation of the endometrium was performed after exclusion of organic causes for hypermenorrhoea b y sonography, hysteroscopy and curettage. In 60% of the patients ameno rrhoea occured and in 37.5% hypomenorrhoea was achieved. In one patien t, the endometrial ablation had to be repeated twice because of persis tent hypermenorrhoea. There were no intra- or postoperative complicati ons. Endometrial ablation using the Roller-Ball method can be an alter native method to hysterectomy in selected patients.