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Frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation: a 10-year follow-up.
Am J Obstet Gynecol. 2002 Jun; 186(6):1274-80; discussion 1280-3.AJ

Abstract

OBJECTIVE

This study was undertaken to determine the frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation and to describe methods for diagnosis, treatment, and prevention.

STUDY DESIGN

Retrospective cases of 50 consecutive patients who received total rollerball endometrial ablation for dysfunctional uterine bleeding were followed up for 10 years.

RESULTS

Symptomatic cornual hematometra or postablation tubal sterilization syndrome was diagnosed by ultrasound scanning and/or magnetic resonance imaging in 5 of 50 patients (10%) who had a total endometrial ablation. Two patients had cornual hematometra, and 3 patients had postablation tubal sterilization syndrome 4 months to 90 months after rollerball ablation. Subsequent gonadotropin-releasing hormone agonist treatment or hysteroscopic decompression of the hematometra was only partially successful, and recurrence of symptoms necessitated hysterectomy with salpingectomy.

CONCLUSION

Uterine contracture, which obstructs bleeding from persistent cornual endometrium and leads to symptomatic cornual hematometra or postablation tubal sterilization syndrome, is not uncommon after total rollerball endometrial ablation, with an incidence of 10% in our series. Satisfactory treatment requires hysterectomy with salpingectomy, but modifications such as partial endometrial ablation can prevent these complications.

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Authors+Show Affiliations

McCausland AM
Department of Obstetrics and Gynecology, Sutter Medical Group and University of California at Davis Medical School, USA.
McCausland VM
No affiliation info available

MeSH

Catheter AblationDecompression, SurgicalEndometriumFallopian Tube DiseasesFemaleFollow-Up StudiesGonadotropin-Releasing HormoneHematometraHumansHysterectomyIncidenceInfertility, FemaleMagnetic Resonance ImagingMiddle AgedRecurrenceRetrospective StudiesUltrasonography

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12066109

Citation

McCausland, Arthur M., and Vance M. McCausland. "Frequency of Symptomatic Cornual Hematometra and Postablation Tubal Sterilization Syndrome After Total Rollerball Endometrial Ablation: a 10-year Follow-up." American Journal of Obstetrics and Gynecology, vol. 186, no. 6, 2002, pp. 1274-80; discussion 1280-3.
McCausland AM, McCausland VM. Frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation: a 10-year follow-up. Am J Obstet Gynecol. 2002;186(6):1274-80; discussion 1280-3.
McCausland, A. M., & McCausland, V. M. (2002). Frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation: a 10-year follow-up. American Journal of Obstetrics and Gynecology, 186(6), 1274-80; discussion 1280-3.
McCausland AM, McCausland VM. Frequency of Symptomatic Cornual Hematometra and Postablation Tubal Sterilization Syndrome After Total Rollerball Endometrial Ablation: a 10-year Follow-up. Am J Obstet Gynecol. 2002;186(6):1274-80; discussion 1280-3. PubMed PMID: 12066109.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation: a 10-year follow-up. AU - McCausland,Arthur M, AU - McCausland,Vance M, PY - 2002/6/18/pubmed PY - 2002/7/12/medline PY - 2002/6/18/entrez SP - 1274-80; discussion 1280-3 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 186 IS - 6 N2 - OBJECTIVE: This study was undertaken to determine the frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation and to describe methods for diagnosis, treatment, and prevention. STUDY DESIGN: Retrospective cases of 50 consecutive patients who received total rollerball endometrial ablation for dysfunctional uterine bleeding were followed up for 10 years. RESULTS: Symptomatic cornual hematometra or postablation tubal sterilization syndrome was diagnosed by ultrasound scanning and/or magnetic resonance imaging in 5 of 50 patients (10%) who had a total endometrial ablation. Two patients had cornual hematometra, and 3 patients had postablation tubal sterilization syndrome 4 months to 90 months after rollerball ablation. Subsequent gonadotropin-releasing hormone agonist treatment or hysteroscopic decompression of the hematometra was only partially successful, and recurrence of symptoms necessitated hysterectomy with salpingectomy. CONCLUSION: Uterine contracture, which obstructs bleeding from persistent cornual endometrium and leads to symptomatic cornual hematometra or postablation tubal sterilization syndrome, is not uncommon after total rollerball endometrial ablation, with an incidence of 10% in our series. Satisfactory treatment requires hysterectomy with salpingectomy, but modifications such as partial endometrial ablation can prevent these complications. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/12066109/Frequency_of_symptomatic_cornual_hematometra_and_postablation_tubal_sterilization_syndrome_after_total_rollerball_endometrial_ablation:_a_10_year_follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002937802000315 DB - PRIME DP - Unbound Medicine ER -