TY - JOUR
T1 - Pathologic Characteristics of Hysterectomy Specimens in Women Undergoing Hysterectomy after Global Endometrial Ablation
AU - Carey, Erin T.
AU - El-Nashar, Sherif A.
AU - Hopkins, Matthew R.
AU - Creedon, Douglas J.
AU - Cliby, William A.
AU - Famuyide, Abimbola O.
PY - 2011/1
Y1 - 2011/1
N2 - Study Objective: To describe uterine pathologic features in women who underwent hysterectomy because of failed global endometrial ablation (GEA). Design: Retrospective cohort study from 1998 through 2005 (Canadian Task Force classification III). Setting: Tertiary referral center. Patients: Sixty-nine women who underwent hysterectomy because of GEA failure. Interventions: Pathology reports were available for 67 patients. Descriptions of hysterectomy specimens after GEA were reviewed. Measurements and Main Results: Rates of pathologic findings in hysterectomy specimens after failed GEA were determined. Reasons for hysterectomy in the 67 patients with available pathology reports were bleeding in 34 (51%), pain in 19 (28%), and bleeding and pain in 14 (21%). The pathology reports of these specimens showed leiomyomas in 33 specimens (49%); intramural myomas were present in 15 women (44%) who underwent hysterectomy because of bleeding and 8 women (42%) who underwent hysterectomy because of pain. Hematometra was identified in 7 pathologic specimens (10%). Specifically, hematometra was identified in specimens from 5 of 19 women who underwent hysterectomy because of pain (26%). Conclusion: Hematometra was a significant finding in women who underwent hysterectomy because of persistent pain after GEA. A possible pathologic predictor of GEA failure may be intramural leiomyomas.
AB - Study Objective: To describe uterine pathologic features in women who underwent hysterectomy because of failed global endometrial ablation (GEA). Design: Retrospective cohort study from 1998 through 2005 (Canadian Task Force classification III). Setting: Tertiary referral center. Patients: Sixty-nine women who underwent hysterectomy because of GEA failure. Interventions: Pathology reports were available for 67 patients. Descriptions of hysterectomy specimens after GEA were reviewed. Measurements and Main Results: Rates of pathologic findings in hysterectomy specimens after failed GEA were determined. Reasons for hysterectomy in the 67 patients with available pathology reports were bleeding in 34 (51%), pain in 19 (28%), and bleeding and pain in 14 (21%). The pathology reports of these specimens showed leiomyomas in 33 specimens (49%); intramural myomas were present in 15 women (44%) who underwent hysterectomy because of bleeding and 8 women (42%) who underwent hysterectomy because of pain. Hematometra was identified in 7 pathologic specimens (10%). Specifically, hematometra was identified in specimens from 5 of 19 women who underwent hysterectomy because of pain (26%). Conclusion: Hematometra was a significant finding in women who underwent hysterectomy because of persistent pain after GEA. A possible pathologic predictor of GEA failure may be intramural leiomyomas.
KW - Global endometrial ablation
KW - Hysterectomy
KW - Menorrhagia
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U2 - 10.1016/j.jmig.2010.10.004
DO - 10.1016/j.jmig.2010.10.004
M3 - Article
C2 - 21195959
AN - SCOPUS:78650692390
SN - 1553-4650
VL - 18
SP - 96
EP - 99
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
IS - 1
ER -