To compare health-related quality of life (HRQoL) after bipolar radio frequency ablation and thermal balloon ablation in women with dysfunctional uterine bleeding.
Randomized clinical trial.
Women suffering from dysfunctional uterine bleeding.
Bipolar radio frequency ablation and thermal balloon ablation.
Patients were asked to complete HRQoL questionnaires at baseline, and at 2 days, 2 weeks, 3 months, 6 months, and 12 months after surgery. The questionnaires contained the medical outcomes study Short-Form 36 (SF-36), the Self-rating Depression Scale, the Rotterdam Symptom Checklist, State-Trait Anxiety Inventory, and a structured clinical history questionnaire.
Data on HRQoL were available on at least two different time points in 115 of 126 randomized patients. HRQoL improved significantly over time in both groups, except for the domain of general health in the SF-36. None of the dimensions showed a significant difference between both groups, neither was there a significant interaction between time and treatment effect.
Both methods significantly improved HRQoL in women with dysfunctional uterine bleeding. However, despite better amenorrhea and satisfaction rates after bipolar radio frequency ablation, there was no difference in HRQoL between the two groups.
[Show abstract][Hide abstract] ABSTRACT: La hemorragia uterina anormal, cuya prevalencia es del 30%, proviene de diversas etiologías que se pueden agrupar en cuatro: relacionadas con embarazo, uterinas orgánicas, endocrinas y hematológicas. Se revisó la literatura y las evidencias médicas, en OVID, PubMed, Cochrane library y guías de manejo, que dieran bases para elaborar un enfoque integral de la hemorragia uterina anormal, con métodos menos invasivos, que propician salud a menos costos. Con base en evidencias médicas disponibles resultó un algoritmo que cumple esos propósitos.
[Show abstract][Hide abstract] ABSTRACT: Drugs or hysterectomy (removing the uterus) used to be the main option for women having problems with heavy menstrual bleeding (menorrhagia). In the last decade, surgical techniques have been developed that remove only the lining of the uterus (endometrium). These techniques involve either cutting out the endometrium (resection) or destroying it with thermal energy from a laser or electric instrument (ablation). This surgery is less effective than hysterectomy in stopping menstrual bleeding but is not as invasive or costly and satisfaction rates are similar.
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