الفهرس 
Patients and methodsOnly 14 pages are availabe for public view
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Abstract
Dysfunctional uterine bleeding is uncomfortable and
inconvenient complaint that may not be relieved by the most
commonly prescribed agents as; progestogens, prostaglandin
inhibitors, antifibrinolytic agents, capillary stabilizers, danazol
and LHRH agonists.
Medical treatments are, however,have many side effects on
the long term and not universally effective and ultimately many
women undergo hysterectomy.
Hysteroscopic techniques offer a revolution in the treatment
of DUB. TCRE appears to be a great advance in the
management of menstrual disorders.
Twenty patients with complaints of unacceptably heavy and
prolonged periods were treated with hysteroscopic TCRE. Ten
patients underwent total resection of the endometrial lining and
the other ten patients under went partial resection.
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Summary
All the procedures were performed under general
anaesthesia.The mean surgical time for total resection was
48min. and it was 42min. for partial resection. Follow up for up
to six months showed beneficial effects on the duration and
amount of the blood loss.
Forty percent of women became amenorrheic and 30%
spotting and 20% hypoamenorrheic after total TCRE, in
comparison with 20% amenorrhea and 40% hypoamenorrheic
and 20% spotting for these who underwent partial TCRE at 6
months post operative.
There were 5 failures: 3 reported ”no improvement”
initially and 2 late failures after a good result for 3-4 months.
Three patients underwent a second procedure with 100%
success at 6 months. The other two patients underwent
hysterectomy.Complications were minimal and included two
patients suffered from primary haemorrhage and required
tamponade with a Foley’s catheter.One case suffered from
85
Summary
secondary haemorrhage and an urgent hysterecotomy was done
for her. One case got pregnant after partial ablation and had
passed to term.Partial TCRE was more or less equal to total
TCRE in improving menstrual symptoms. Patient satisfaction
was equal after the first 6 post-operative months.
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