[Transcervical resection of the endometrium--an alternative of hysterectomy or not?]

Abstract

Menorrhagia is frequent at women at reproductive age. Nowadays the standart for diagnosis of menorrhagia is hysteroscopy with histological verification. When there is no effect of the conservative treatment, an operative treatment is applied--hysterectomy or ablation of the endometrium. The aim of the present study is to present our experience with transcervical resection of the endometrium with classic abdominal hysterectomy as a therapeutic management for women with menorrhagia. Transcervical resection of the endometrium at selected patients (proved menorrhagia and length of the endometrium <10-12 sm) is a safe alternative of hysterectomy.