en Evaluation of the Success Rate of Endometrial Ablation by Cavaterm ^TMplus Technique Basic Science Basic Science Original Original <p>The failure to treatment rate was reported 7.5%. Patient satisfaction rate was 85%.</p> <sec> <div>Background</div> <p>Dysfunctional uterine bleeding (DUB) is the most common gynecologic disorder in women of reproductive age. Medical treatments are often ineffective. Endometrial ablation is an alternative to hysterectomy for these women.</p> </sec> <sec> <div>Objective</div> <p>To evaluate the response to treatment rate of the Cavaterm ^TMplus technique for management of menorrhagia secondary to dysfunctional uterine bleeding (DUB).</p> </sec> <sec> <div>Patients and Methods</div> <p>In this clinical trial study 40 women aged 35-50 years with menorrhagia secondary to DUB, who had been referred to the gynecology clinic of Arash Hospital, Tehran, Iran, were recruited. They underwent endometrial ablation via Cavaterm&amp;#x2122; plus system and were followed for one year.</p> </sec> <sec> <div>Results</div> <p>The observed mean number of days of bleeding per month decreased significantly from 14.95 &amp;#xB1; 6.7 days before treatment to 3.42 &amp;#xB1; 3.04 days after treatment (P &amp;lt; 0.001). Intervals between hemorrhagia increased significantly from 16.25 &amp;#xB1; 5.50 to 21.30 &amp;#xB1; 11.10 days (P = 0.01). The rate of dysmenorrhea decreased significantly from 32.5% to 10% (P &amp;lt; 0.05). The improvement rate of dysmenorrhea was 69.5%. The overall improvement of menorrhagia was reported 92.5% (P &amp;lt; 0.001). After one year the rates of hypomenorrhea, amenorrhea and eumenorrhea were 47.5%, 27.5% and 17.5%, respectively.</p> </sec> <sec> <div>Conclusion</div> <p>The Cavaterm&amp;#x2122; plus system is a safe and effective technique and it can be an excellent alternative to hysterectomy for the treatment of menorrhagia due to DUB.</p> </sec> Menorrhagia,Endometrial Ablation,DUB 100 110 http://annbsurg.iums.ac.ir/browse.php?a_code=A-10-31-130&slc_lang=en&sid=1 Zahra Asgari 1003194753284600186 1003194753284600186 No Department of Obstetrics and Gynecology, Arash Hospital, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran Farideh Hoseinzadeh. 1003194753284600187 1003194753284600187 No Department of Obstetrics and Gynecology, Arash Hospital, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran Aazam Hoseinzadeh 1003194753284600188 1003194753284600188 No Department of Obstetrics and Gynecology, Arash Hospital, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran Leili Hafizi 1003194753284600189 1003194753284600189 Yes Department of Obstetrics and Gynecology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran