The Hydrothermablation (HTA) in local anaesthesia

The Hydrothermablation (HTA) is a new technique for ablation of the endomet rium of the uterus. Patients with hypermenorrhoea are treated with GnRH-Ago nists during two months before the operation. Uterine fibroids or polyps as cause for the hypermenorrhoea should be excluded by histology first. The H TA is done with a local cervical anaesthesia. Our preliminary experience sh ows that the patients feel the cervix dilation but do not feel any pain dur ing the instillation of the hot saline sloution. The procedure takes about 30 minutes. The patients stay in the hospital for two more hours for postop erative check-ups. This operation causes low treatment costs by using local anaesthesia and by being an outpatient treatment. In conclusion, the HTA o ffers a simple and revolutionary, alternative treatment for patients suffer ing from dysfunctional uterine bleeding. This being possible in local anaes thesia causes lower costs, no pain and short operation time.