Clinical Predictive Factors of Success of Hysteroscopic Endometrial Ablation/Resection

Naser Al-Husban

Status: Completed

Conditions: Uterine Bleeding; Treatment Failures; Prognostic Factors

Treatments: Procedure: Endometrial Ablation; Procedure: Repeated gynecological procedure

Study type: Observational

Funder types: Other

Identifiers

NCT05483348

4276

Details and patient eligibility

About

To determine the predictive factors of endometrial ablation failure in the management of uterine bleeding.

Full description

This is a retrospective cohort study for women who have been treated with Thermal endometrial ablation due to uterine bleeding. The main purpose of this study is to demonstrate the possible risk factors associated with endometrial ablation failure causing patients to need subsequent gynecological procedures or undergoing hysterectomy for definitive treatment. Such efforts are made in order to anticipate the morbidity and mortality associated with patients in such conditions and to effectively stratify those patients to appropriate treatment techniques.

Enrollment: 95 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients who had their endometrial ablation at Jordan University Hospital.

Exclusion criteria

• Patients whose index ablation or subsequent re-intervention could not be confirmed in detailed operative reports were excluded

Trial design

95 participants in 2 patient groups

Patients who had successful endometrial ablation

Description:

Patients included in this group experienced abnormal uterine bleeding and underwent endometrial ablation. Successful ablation was defined as not undergoing subsequent gynecological procedures such as hysterectomy for any benign indication, D\&C or repeat ablation within 36 months after the endometrial ablation.

Treatment:

Procedure: Endometrial Ablation

Patients who had unsuccessful endometrial ablation

Description:

Patients included in this group experienced abnormal uterine bleeding and underwent endometrial ablation. Unsuccessful ablation was defined as undergoing subsequent gynecological procedures such as hysterectomy for any benign indication, D\&C or repeat ablation within 36 months after the endometrial ablation.

Treatment:

Procedure: Repeated gynecological procedure

Procedure: Endometrial Ablation