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 & 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.
Elmantwe, A. (2017). Bipolar Endometrial Resection (BER) Versus Non Descent Vaginal Hysterectomy (NDVH) For Leiomyoma Induced Heavy Menstrual Bleeding. The Egyptian Journal of Fertility and Sterility, 21(1), 9-16. doi: 10.21608/egyfs.2017.19223
MLA
Ashraf Elmantwe. "Bipolar Endometrial Resection (BER) Versus Non Descent Vaginal Hysterectomy (NDVH) For Leiomyoma Induced Heavy Menstrual Bleeding", The Egyptian Journal of Fertility and Sterility, 21, 1, 2017, 9-16. doi: 10.21608/egyfs.2017.19223
HARVARD
Elmantwe, A. (2017). 'Bipolar Endometrial Resection (BER) Versus Non Descent Vaginal Hysterectomy (NDVH) For Leiomyoma Induced Heavy Menstrual Bleeding', The Egyptian Journal of Fertility and Sterility, 21(1), pp. 9-16. doi: 10.21608/egyfs.2017.19223
VANCOUVER
Elmantwe, A. Bipolar Endometrial Resection (BER) Versus Non Descent Vaginal Hysterectomy (NDVH) For Leiomyoma Induced Heavy Menstrual Bleeding. The Egyptian Journal of Fertility and Sterility, 2017; 21(1): 9-16. doi: 10.21608/egyfs.2017.19223
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