Evaluation of Hydro ThermAblator for endometrial destruction in patients with menorrhagia

Objective. To describe endometrial destruction with the Hydro ThermAblator. Design, (Canadian Task Force classification II-1). Setting. University-affiliated hospital. Patients. Twenty-six women with uncontrolled menorrhagia. Intervention. Endometrial ablation with saline heated to 90 degrees C and c irculated in the uterine cavity for 10 minutes under hysteroscopic control. Measurements and Main Results. All patients tolerated the procedure well, a ll but one was satisfied with the results, and there were no significant si de effects or complications. Seventy-seven percent of women were either ame norrheic or hypomenorrheic after 6 months, and 88% were amenorrheic or hypo menorrheic after 1 year, including one patient who was treated a second tim e; 87.5% were amenorrheic or hypomenorrheic at 18 months. One woman had per sistent menorrhagia and was treated by hysterectomy. Conclusion. In this study, endometrial ablation was performed successfully with the Hydro ThermAblator in 25 of 26 women.