Bipolar Endometrial Resection (BER) Versus Non Descent Vaginal Hysterectomy (NDVH) For Leiomyoma Induced Heavy Menstrual Bleeding | ||
| The Egyptian Journal of Fertility and Sterility | ||
| Article 8, Volume 21, Issue 1, January 2017, Pages 9-16 PDF (3.01 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2017.19223 | ||
| Author | ||
| Ashraf Elmantwe* | ||
| Lecturer of Obstetrics and Gynecology Department, Benha University Hospital, Benha University Egypt | ||
| Abstract | ||
| Aim: To compare the efficacy of Bipolar endometrial resection (BER) with that of non descent vaginal hysterectomy (NDVH) in control of heavy menstrual bleeding (HMB) induced by leiomyoma. Patients & Methods: An open label randomized controlled trial was conducted between February 2013 and October 2014 in Benha University Hospital, Benha, Egypt. Eligible women with HMB (Aged > 40 years and < 50 years, uterine size < 12 weeks of pregnancy, leiomyoma < 3 cm, uterocervical < 12 cm) were randomly assigned (1 : 1) to undergo BER or NDVH by closed envelopes method. The primary outcome was the number of women in the BER group with HMB 6 months after surgery. Analyses were by intention to treat. Results: Each group contained 20 women. No women in BER had HMB at 6 months. Twelve women were amenorrheic and eight women were hypomenorrheic by 6 months. Conclusion: BER can replace NDVH in some perimenopausal women to control HMB induced by small leiomyomas. | ||
| Keywords | ||
| BER; NDVH; EA; HMB | ||
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