TRANSCERVICAL ENDOMETRIAL ABLATION WITH THE ROLLER-BALL METHOD - AN ALTERNATIVE METHOD TO HYSTERECTOMY IN PATIENTS SUFFERING FROM REFRACTORY HYPERMENORRHOEA - 1ST EXPERIENCES

In 40 patients, indicated for hysterectomy because of refractory recurrent hypermenorrhoea, a ''roller-ball'' coagulation of the endometrium was performed after exclusion of organic causes for hypermenorrhoea by sonography, hysteroscopy and curettage. In 60% of the patients amenorrhoea occured and in 37.5% hypomenorrhoea was achieved. In one patient, the endometrial ablation had to be repeated twice because of persistent hypermenorrhoea. There were no intra- or postoperative complications. Endometrial ablation using the Roller-Ball method can be an alternative method to hysterectomy in selected patients.