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Water-thermal ablation – For roughly 10 minutes, warm fluid is delivered into the uterus. The uterine lining is destroyed by the heat. This technique has the benefit of being usable in patients who have uteri that are shaped differently due to abnormal tissue growth.
Cryo-endometrial ablation (CEA): A form of cryotherapy whereby using a small probe, providers can directly apply sub-zero temperatures within the uterus to freeze and ablate the endometrium. Circulating Hot Water: Heated water directly introduced into the uterus is used to thermally ablate the endometrium.
Laser ablation is also used to remove part of the uterine wall in women with menstruation and adenomyosis problems in a process called endometrial ablation. Researchers have demonstrated a successful technique for ablating subsurface tumors with minimal thermal damage to surrounding healthy tissue, by using a focused laser beam from an ultra ...
Hysteroscopy is useful in a number of uterine conditions: Asherman's syndrome (i.e. intrauterine adhesions). Hysteroscopic adhesiolysis is the technique of lysing adhesions in the uterus using either microscissors (recommended) or thermal energy modalities.
Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation, where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity. [1] It can also develop after abortion, [4] as well as after childbirth.
Endometrial biopsy in those with high risk endometrial cancer or atypical hyperplasia or malignancy. [16] Sonohysterography to assess for abnormalities within the uterine lining [17] Hysteroscopy (anaesthesia should be offered) [16] Thyroid-stimulating hormone and thyrotropin-releasing hormone dosage to rule out hypothyroidism [18]
Water vapour thermal therapy (marketed as Rezum) is a newer office procedure for removing prostate tissue using steam. Several studies including a four-year follow-up provided evidence for improvement of BPH symptoms, preserved sexual function, and low surgical retreatment rates.
After the treatment, patients follow up with their physician for several months. The treatment team also orders additional imaging scans to evaluate whether the microwave ablation successfully destroyed the tumor. Plasma-mediated radiofrequency ablation ("coblation") Radiofrequency ablation is a treatment that uses heat to destroy multiple ...