Impact of adenomyosis on results of endometrial ablations

The authors report the results of a retrospective series concerning 121 pat ients who presented abnormal uterine bleeding resistant to progestogen ther apy. These patients were adenomyosis carriers and who underwent loop endome trial ablation. Over a maximum period of 8 years, the success rate was 56 % following one endometrial resection and 67 % following one or two resectio ns. The study recorded a repeat resection level of 11 %. Seventeen hysterec tomies (19 %) were performed because of the recurrence of abnormal uterine bleeding. These results are comparable to those observed in endometrial abl ation performed for menorrhagia, all benign etiology included. Adenomyosis does not appear to be a factor in the failure of endometrial ablation, exce pt in the case of deep adenomyosis which is difficult to diagnose pre-opera tively.