Objectives : To evaluate the effects and sequelae of transccrvical resection of the endomctrium (TCRE) and
thermachoice balloon ablation in the management of perimenopausal dysfunctional uterine bleeding.
Design: Prospective study.
Setting : Tanta and Cairo University Hospitals.
Patients : The study included 70 women complaining of primenopausal dysfunctional uterine bleeding.
Intervention: Women were randomized to cither treatment with the cndomelrial resection or thermal balloon ablation
and followed up for 6 months.
Outcome measures: Evaluation of treatment efficacy was done by a scoring system. Quantification of the quality of life
aspects was done via a special questionnaire.
Results: The present study revealed that hysteroscopic resection of the endomctrium takes an average time of
34.2±10.52 minutes. Regarding the operative and postoperative complications, one patient had perforation, another case
developed postoperative hematometra and a third case had persistent excessive bleeding. Blood haemoglobin and scrum
ferritin increased significantly within 6 months after the operation. The operation resulted in a reduction in bleeding
score at 3, 6 nd 12 months respectively. About 81% of women felt very satisfied and satisfied within one year.
Thermachoice balloon ablation takes an average of 12.4+4.32 minutes. Operative and postoperative complications,
pregnancy occurred in one case 3 months after the procedure. Blood haemoglobin and serum ferritin increased
significantly wihin 6 months after the procedure. The procedure reduced bleeding score at 3, 6 and 12 months
respectively. Whithin one year after the procedure, 80% of patients felt very satisfied and and satisfied were 80%.
Conclusion: Hysteroscopic endometrial ablation and thermachoice balloon ablation arc both effective in women with
dysfunctional uterine bleeding especially in patients who complete their families and desire to retain their uteri.