Transcervical Resection of the Endometrium

Indication

Persistent bleeding disorders in the premenopause and wish for preservation of the uterus.

Technique

Contraindications

  • Current or planned future pregnancy.
  • Endometrial hyperplasia or malignancy.
  • Current pelvic infections.

Complications

  • TUR-Syndrome.
  • Perforation or other hysteroscopy complications.

Postoperative Management

  • Early discharge.
  • Postoperative instructions.
  • Follow-up in 1 week.
  • Suggest contraception, since a subsequent pregnancy may have serious complications.

Bibliography

  • Leathersich, S. J., & McGurgan, P. M. (2018). Endometrial resection and global ablation in the normal uterus. Best Practice & Research Clinical Obstetrics & Gynaecology, 46, 84–98. https://doi.org/https://doi.org/10.1016/j.bpobgyn.2017.09.006
  • Kohn, JR, Shamshirsaz, AA, Popek, E, Guan, X, Belfort, MA, Fox, KA. Pregnancy after endometrial ablation: a systematic review. BJOG 2018; 125: 43– 53.

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