Endometrial resection after vacuum curettage

Abstract

Objective

To assess the efficacy of suction curettage in removing the functional layers of the endometrium prior to hysteroscopic resection.

Design

Prospective study conducted during 1 year.

Patients

A total of 43 patients aged between 31 and 51 years, with symptoms of menorrhagia.

Setting

Endoscopy unit in a hospital.

Interventions

Hysteroscopy and transvaginal sonography were used in the diagnostic work up. Patients were submitted to vacuum curettage immediately prior to endometrial resection. Postoperative treatment with nomegestrol acetate was used in all cases.

Results

Suction curettage was effective in thinning the endometrium prior to endometrial resection. The visualization of the uterine cavity was not adversely affected by this procedure. The amenorrhea rate was 60% in the patients treated postoperatively with nomegestrol acetate. There were two treatment failures in this group.

Conclusion

Suction curettage is an effective technique for mechanically preparing the endometrium prior to hysteroscopic resection. There was no increased risk for fluid overload in these patients.