Endometrial ablation: a series of 568 patients treated over an 11-year period

Article Abstract:

Laser surgery to cauterize the inner wall of the uterus may be an effective alternative to hysterectomy in curing abnormal uterine bleeding. Researchers performed endometrial ablation laser or electrosurgery on 568 patients with abnormal uterine bleeding from 1983 to 1994. Abnormal uterine bleeding was defined as heavy bleeding or menstruation lasting longer than six months that could not be treated with hormones. Menstruation ceased in 58% of the women treated, light to normal menstrual flow was reported by 34%, and surgery failed to limit bleeding in 8% of the women. Sixty-five percent of women who were menopausal experienced no menstruation after surgery. Endometrial ablation did not cause any uterine perforations, and the overall complication rate was low.

Evaluation, Lasers in surgery, Laser surgery, Endometrium, Ablation (Surgery)

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Urinary oxalate excretion and its role in vulvar pain syndrome

Article Abstract:

Oxalates in the urine do not appear to be responsible for initiating the pain experienced by women with vulvar pain syndrome. Oxalate levels were measured in all urine passed during one day in 130 women with vulvar pain syndrome and 23 healthy volunteers. Improvements in vulvar pain were analyzed among 59 of the patients with higher oxalate levels after eating a three-month low-oxalate diet. There was no significant difference in mean or peak oxalate levels between the patients and volunteers. Oxalate levels were higher among women who passed more urine. Eating a low-oxalate diet resulted in painless intercourse for only 10% of these patients.

Analysis, Physiological aspects, Pain, Vulvar diseases, Urine, Urinalysis, Oxalates

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Endometrial carcinoma after endometrial ablation: high-risk factors predicting its occurrence

Article Abstract:

Some women may not be suitable candidates for endometrial ablation. This surgical technique is used to treat abnormal uterine bleeding and involves removing parts of the endometrium, or inner lining of the uterus. However, a review of the cases of 8 women who developed endometrial cancer after endometrial ablation for abnormal bleeding shows that these women should have had a hysterectomy rather than endometrial ablation. They all had risk factors for endometrial cancer, including diabetes, obesity, hypertension, and bleeding that did not respond to hormone therapy.

Uterine bleeding, Uterine hemorrhage, Endometrial hyperplasia

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