Study Objective. To compare results of endometrial ablation using the Vesta
system compared with resection and rollerball.
Design. Multicenter, prospective, randomized, controlled study (Canadian Ta
sk Force classification I).
Setting. Private practice and academic center.
Patients. Women with menorrhagia documented by menstrual diaries who failed
or refused hormonal therapy and who had no major uterine organic lesions.
Interventions. Vesta endometrial ablation or traditional endometrial resect
ion and rollerball ablation.
Measurements and Main Results. Both groups achieved excellent control of me
norrhagia.
Conclusion. Vesta is an attractive alternative to traditional methods of en
dometrial ablation.