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Bipolar Endometrial Resection (BER) Versus Non Descent Vaginal Hysterectomy (NDVH) For Leiomyoma Induced Heavy Menstrual Bleeding

The Egyptian journal of fertility and sterility • 2017
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Publication Information
Authors Ashraf nassif Mahmoud elmantwe
Keywords Not Available
Journal The Egyptian journal of fertility and sterility
Publisher Not Available
Volume Not Available
Issue Not Available
Pages Not Available
publication.type International
Paper Link Not Available
Supplementary Materials Not Available
Abstract
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 and 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.
Keyword: BER, NDVH, EA, HMB.