Hydrothermal ablation - A new simple method for coagulating endometrium inpatients with therapy-resistant recurring hypermenorrhea

Hydrothermablation is a new method which could replace the electrosurgical method of endometrial ablation. Some prospective studies were carried out t o assess efficacy, safety and tolerability of hydrothermablation in the tre atment of recurrent menorrhagias. Hydrothermablation is an intervention wit h coagulation at the endometrium: temperature 90 degreesC and duration 10 m in with simultaneous hysteroscopic control. In a follow-up of least 12 mont hs, about 35% of the patients had an amenorrhea and the treatment was succe ssful (reduction of pathological blood flow) in about 87% of the patients. Complications were vaginal burns in 2 cases. No other intra- or postoperati ve complications occurred. Hydrothermablation is a safe and effective metho d for treatment of recurrent menorrhagias. This method offers a simple poss ibility to perform endometrial ablation without extensive training of the s urgeon and can contribute to avoid hysterectomy.