Rates of subsequent surgery following endometrial ablation among English women with menorrhagia: population-based cohort study.

摘要: Objective To assess the risk of further surgery amongst women who had an initial endometrial ablation (EA) for treatment heavy menstrual bleeding (HMB). Design A retrospective cohort study using a national administrative database. Setting Population-based hospital care in English National Health Service. Population A 114 910 EA HMB between January 2000 and December 2011. Methods Multiple Cox regressions were performed to identify risks procedure, adjusted age, social deprivation, year type EA, presence fibroids/polyps. Main outcome measures Time repeat or hysterectomy after surgery. Results Of undergoing 16.7% at least one subsequent procedure within 5 years. Higher rates associated with younger age aged under 35 years having hazard ratio 2.83 (95% CI 2.67–2.99), compared over 45 years. Women radiofrequency less likely have as first-generation techniques (HR 0.69, 95% 0.63–0.76). The rate 5 years was 13.5%. Younger (OR 0.59, 0.51–0.69) those balloon, microwave, second rather than hysterectomy. Conclusions One six HMB, which is higher reported clinical trials. This decreases age.