Endometrial resection: a diagnostic tool in postmenopausal women

Citation
M. Franchini et L. Cianferoni, Endometrial resection: a diagnostic tool in postmenopausal women, GYNAEC ENDO, 8(2), 1999, pp. 111-114
Citations number
11
Categorie Soggetti
Reproductive Medicine
Journal title
GYNAECOLOGICAL ENDOSCOPY
ISSN journal
09621091 → ACNP
Volume
8
Issue
2
Year of publication
1999
Pages
111 - 114
Database
ISI
SICI code
0962-1091(199904)8:2<111:ERADTI>2.0.ZU;2-R
Abstract
Objective To determine the diagnostic role of hysteroscopic endometrial res ection in symptomatic postmenopausal women. Design Retrospective study. Setting Gynaecology department at a general hospital. Patients 150 postmenopausal women with abnormal uterine bleeding. Interventions Hysteroscopic transcervical resection of endometrium under ge neral or spinal anaesthesia. Results Eight endometrial carcinomas were detected in endometrial chips and were managed with simple hysterectomy. A benign organic cause was noted in 131 cases, and 11 women had atrophic endometrium. All 142 postmenopausal w omen with a benign lesion were satisfied with their treatment and had no re currence of abnormal bleeding during a mean follow up of 28 months. Conclusion Endometrial transcervical resection is a reasonable clinical str ategy for single-procedure evaluation and treatment in postmenopausal women with abnormal uterine bleeding.