caa a22 4500 445310030 CHVBK 20180317142626.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00404-010-1744-2 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1744-2 Modified thermal balloon endometrial ablation in low resource settings: a cost-effective method using Foley's catheter [Elektronische Daten] [Adel Helal, El-Said Abdel-Hady, Abd Mashaly, Mohamed Shafaie, Lotfy Sherif] Objective: To assess the efficacy of a modified Foley's catheter endometrial ablation in the treatment of abnormal uterine bleeding in low resource settings. Methods: Four hundred and thirty premenopausal women with abnormal uterine bleeding were subjected to thermal balloon endometrial ablation using modified Foley's catheter. The primary outcome measure was patient satisfaction regarding menstrual blood loss. Secondary measures included improvement in quality of life scores and failure rates. Results: Three hundred and three patients were available for evaluation at 3-year follow up. 270/303 (89.1%) reported their satisfaction as indicated by reduction in days of menstrual flow per cycle (4.2 vs. 8.8days, p<0.0001). There was a significant improvement in quality of life scores (p<0.0001). The rate of failure varies according to the interval of follow up from 15.6% at 6months to 10.9% at 3years. Conclusion: Modified Foley's catheter endometrial ablation is a cost effective alternative to other thermal endometrial ablation techniques in the treatment of abnormal uterine bleeding in low resource settings. Springer-Verlag, 2010 Abnormal uterine bleeding nationallicence Thermal balloon endometrial ablation nationallicence Helal Adel Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut Abdel-Hady El-Said Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut Mashaly Abd Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut Shafaie Mohamed Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut Sherif Lotfy Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 671-675 0932-0067 284:3<671 2011 284 404 https://doi.org/10.1007/s00404-010-1744-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1744-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Helal Adel Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut NATIONALLICENCE 700 1- Abdel-Hady El-Said Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut NATIONALLICENCE 700 1- Mashaly Abd Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut NATIONALLICENCE 700 1- Shafaie Mohamed Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut NATIONALLICENCE 700 1- Sherif Lotfy Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 671-675 0932-0067 284:3<671 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer