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Endometrial ablation using silicon foley catheter: An alternative modality of treatment in a resource-poor setting

Author: 
Priyanka Suhag, Charu Srivastava, Sriram Gopal, Abhishek Chandavarkar and Shreyas Arun Chawathey
Subject Area: 
Health Sciences
Abstract: 

Endometrial ablation is the procedure in which we remove or destroy the endometrium and superficial myometrium to destroy the basal layer of endometrium and inhibit its regeneration, hence preventing blood loss during menses. Based on the Principles used for the development of the second generation techniques for endometrial ablation, we have utilised a technique in which a silicone Foley’s catheter with Hot Normal Saline is used to ablate the endometrium. Materials and Methods: This prospective study was carried out in the outpatient Gynaecology clinic and the department of Obstetrics and Gynaecology in Dr DY Patil Medical College, Nerul, Navi Mumbai with recruitment of subjects from March 2016 to September 2016 and follow up till date. The study included 50 patients aged from 35 to 55 years complaining of menorrhagia not responding to treatment (medical treatment) for 3 to 12 months. Foleys cathetar inserted in endometrial cavity inflated with boiling saline was used to ablate endometrium. Results: 92% satisfaction rate with the procedure at 6 months was observed. Complete cessation of menses was reported in 26% patients and 18% patients had eumenorhea. 48% Patients had reported Hypomenorrhoea at 6 months post procedure. Conclusion: Foley’s thermal balloon endometrial ablation is a safe, cost effective, simple and effective procedure.

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