Ultrasound Appearance of the Endometrium Post Radio-Frequency Ablation
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 12/30/2018 |
| Start Date: | October 11, 2016 |
| End Date: | May 2019 |
| Contact: | Ganga Devaiah, MS |
| Email: | ganga_devaiah@trihealth.com |
| Phone: | 513-862-2341 |
- The study primarily aims to evaluate the post ablative endometrium and uterus using
transvaginal ultrasound to provide descriptive information as to what may be expected in
the 12 months after a NovaSure ablation. Investigators believe this knowledge will help
them to determine when to proceed with further evaluation postoperatively or when to
counsel patients on expectant management based on ultrasonographic findings.
- Secondary aims include correlation of ultrasonographic findings to demographic patient
data.
transvaginal ultrasound to provide descriptive information as to what may be expected in
the 12 months after a NovaSure ablation. Investigators believe this knowledge will help
them to determine when to proceed with further evaluation postoperatively or when to
counsel patients on expectant management based on ultrasonographic findings.
- Secondary aims include correlation of ultrasonographic findings to demographic patient
data.
Heavy and irregular menses affects 9-14% of gynecologic patients. Surgical can be employed
intervention is sought when medical management fails. Endometrial ablation or desiccation of
the endometrium using minimally invasive instruments has been utilized in this scenario. The
current mainstay intervention is non-resectoscopic radio frequency ablation. These procedures
have high satisfaction rates (81 to 93%) similar to hysterectomy and leave up to 47% of
patients amenorrheic. Post operative complications, both short and long term, and failure
rates have been well studied. A limited number of studies have been performed to assess the
histologic state of the post ablative endometrium and fewer assessing the radiographic
appearance of the endometrium. Therefore, this current study aims to describe the
ultrasonographic appearance of the post ablative endometrium and uterus.
intervention is sought when medical management fails. Endometrial ablation or desiccation of
the endometrium using minimally invasive instruments has been utilized in this scenario. The
current mainstay intervention is non-resectoscopic radio frequency ablation. These procedures
have high satisfaction rates (81 to 93%) similar to hysterectomy and leave up to 47% of
patients amenorrheic. Post operative complications, both short and long term, and failure
rates have been well studied. A limited number of studies have been performed to assess the
histologic state of the post ablative endometrium and fewer assessing the radiographic
appearance of the endometrium. Therefore, this current study aims to describe the
ultrasonographic appearance of the post ablative endometrium and uterus.
Inclusion Criteria:
- women of premenopausal age
- 18 years and older
- intended ablative management of menorrhagia
Exclusion Criteria:
- uterine cavity anatomic abnormality
- previous uterine ablation procedure
- previous cervical procedure
- presence of submucosal fibroids
- tissue diagnosis of endometrial hyperplasia/endometrial carcinoma
- pregnancy and delivery less than 1 year before ablation.
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