Document Detail

Long-term complications of endometrial ablation: cause, diagnosis, treatment, and prevention.
MedLine Citation:
PMID:  17630156     Owner:  NLM     Status:  MEDLINE    
At first, total endometrial ablation seemed extremely safe in the short term. However, as time passed, certain unique long-term complications became evident. The problem is that after this procedure, intrauterine scarring and contracture can occur. Any bleeding from persistent or regenerating endometrium behind the scar may be obstructed and cause problems such as central hematometra, cornual hematometra, postablation tubal sterilization syndrome, retrograde menstruation, and potential delay in the diagnosis of endometrial cancer. The incidence of these complications is probably understated because most radiologists and pathologists have not been educated about the findings to make the appropriate diagnosis of cornual hematometra and postablation tubal sterilization syndrome. This review will thoroughly discuss how to diagnose and treat these problems. Possible ways of preventing these long-term complications will also be discussed.
Arthur M McCausland; Vance M McCausland
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  14     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-07-16     Completed Date:  2007-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  399-406     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of California at Davis Medical School, Sacramento, California, USA.
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MeSH Terms
Catheter Ablation / adverse effects*
Endometrial Neoplasms / diagnosis
Endometrium / surgery*
Hematometra* / diagnosis,  etiology,  prevention & control,  therapy
Magnetic Resonance Imaging
Menstruation Disturbances* / diagnosis,  etiology,  prevention & control,  therapy
Sterilization, Involuntary*
Treatment Outcome

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