Treatment for Dysfunctional Heavy Uterine Bleeding (Minimally Invasive Surgery)

It is important to understand that abnormal uterine bleeding, either in quantity, or in frequency, is one of the most common reasons for consulting a gynecologist. One of every four patients will seek medical attention for abnormal bleeding problems and, after 40 years of age, this problem can increase to as much as 30 to 35% of patients. The investigative methods used to qualify this heavy bleeding have greatly improved and become more sophisticated over the years. Hysteroscopy and ultrasound are great tools to assist in giving a precise diagnosis for this type of bleeding.

In most cases, this abnormal bleeding is benign and does not require major surgery. However, there are many failures in medical treatments of this condition. The inception of minimally invasive surgery is helping in reducing failures as well as permitting procedures such as endometrial ablation, thus sparing the patient the need to have her uterus surgically removed. This ablation technique is of course intended for patients with a normal uterine anatomy and for whom an evaluation of the endometrial lining and uterus has been conducted by a medical specialist. The patient is then qualified as to whether she is or not an excellent candidate for this procedure.

The Advantages of this System

  1. A much less invasive surgery not requiring a hysterectomy, re: no need to surgically remove the uterus.
  2. A much quicker recovery time taking on average 24 to 48 hours.
  3. Considerable reduction in complications that may occur during a hysterectomy
  4. The possibility of avoiding general anesthesia
  5. Reduced Post-operative pain as well as quickly getting back to one’s regular physical activities and a normal life.

Surgical Technique

The endometrial technique we use consists of emitting bi-polar radio frequency energy by means of a generator calibrated with many safety features which assists in cauterizing the internal mucus layer of the uterus. This cauterization or dehydration will in most cases greatly reduce uterine bleeding.

Our clinical results indicate that 96% of our patients are satisfied and consider their procedure a success. Our amenorrhea rate, re: absence of menstruation is as high as 70%. In cases where patients still experience bleeding it is reported as very light and lasting only a few days. Our failure rate for this procedure is approximately 4%. If need be, the patient still has the option of a hysterectomy in light of a less than satisfactory result. It is important to note that far too many hysterectomies are performed on a yearly basis in North America as a means to address abnormal uterine bleeding. In many cases the integrity of the uterine cavity is sound deeming a hysterectomy as too aggressive and invasive of a procedure in treatment of dysfunctional bleeding. Thanks to innovation in technology and modern medicine we have been able to spare today’s active and professional women the long recovery and diminished quality of life often associated to invasive surgery.

I invite you to further educate yourself on available treatment options for dysfunctional uterine bleeding and choose, with the advice of a medical specialist, which approach is best suited for you.

If you would like to consult Dr. Sabbah about uterine bleeding, you can arrange an appointment here.