Transcervical Resection of Endometrium (TCRE) in Treatment of Menorrhagia - Does Age Influence the Outcome?

摘要

Objectives To evaluate the menstrual outcomes following TCRE and to identify whether age of the patient influences the outcome. Methodology A cohort study of the 80 cases undergoing TCRE for menorrhagia, between Jan.2001 and Dec. 2002, was carried out. The data was collected retrospectively from the case notes. Patients were divided into two broad groups based on the age. One group (A) comprised of patients aged > 45 years and other group (B) consisted of patients aged < 45 years. Outcome Measures Amen-orrhoea, improvement in menstrual symptoms 6 months following TCRE, repeat medical/surgical intervention for menstrual symptoms, within 2 years following TCRE. Results There were 46 patients aged < 45 years (Group B) and 34 patients were aged > 45years (Group A). Amenorrhoea was reported by 53%, improvement of menstrual symptoms by 38% and no improvement was reported by 9% of the patients in group A. In group B, amenorrhoea was reported by 24%, improvement of menstrual symptoms by 37% and no improvement by 39% of patients. Repeat medical or surgical intervention was noted in 30% of patients in group B as compared to only 6% of patients in group A. Overall success rate was higher (91%) in patients aged > 45 years as compared to 61% in patients aged < 45 years. Conclusion This study suggests that patients aged > 45 years are 50% more likely (Likelihood ratio 1.5) to have a successful outcome following TCRE for menorrhagia compared to patients aged less than 45 years.