Objective: to determine the long term risk of hysterectomy following balloon endometrial ablation. Design: retrospective cohort study. Setting: A teaching university NHS hospital(Queen Elizabeth The Queen Mother Hospital. Methods: Patients having balloon endometrial ablation were prospectively recorded in an operating room log-book between 2001 to 2016. This logbook was used to search the pathology laboratory database (Dart and Apex) to identify patients who required a hysterectomy. Results: 796 patients underwent BEA at QEQM Hospital in Margate. The patients’ age was between 25 to 60 years. A hysterectomy was subsequently performed in 166 women (20.85%). The risk of hysterectomy was higher among the 40-50 age group. The shortest time to hysterectomy was 1 year and the longest was 10 years. Conclusion: The risk of having a hysterectomy after endometrial ablation in this study was 8.7% in the first year after the ablation and this risks drop to 3.5% in 2 years after the ablation. There was 20.85% failure rate of endometrial ablation using thermachoice, and this raise the question about the effectiveness of other devices which use ballon ablation like thermablate, cavaterm and librata.
The outcome of endometrial ablation at Queen Elizabeth the Queen Mother Hospital between 2001-2016
