Cavaterm™, endometrial ablation, results at 5 years follow-up

Cavaterm(TM), a method for endometrial destruction by thermal coagulation, is an established technique for the treatment of menorrhagia as an alternative to hysterectomy. Since August 1993 we have treated more than 200 out-patients on random cycle days and with no pre-treatment with GnRH-analogues. All treatments were started with D&C to thin the endometrium down and obtain specimen for histopathological diagnosis. Duration of treatment is 15 minutes. Treatment can be done under paracervical block. Treatment outcome five years after the first treatment shows a success rate of 94% when intracavitary changes and submucousal leiomyomas are excluded. Thus, this outpatient treatment has a high success rate. We found the Cavaterm(TM) device safe for the patient and easy to learn for the physician.