Endometriosis Treatments

Thermal Balloon Treatment

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The term thermal balloon treatment is a method developed in the last few years for treatment of important menstrual loss. As a small balloon is passed through the vagina and cervix into the cavity of the uterus where it is exaggerated. Fluid in the balloon is heated.

This coagulates and destroys the endometrium with the aim that the periods become very much lighter or stop totally. The procedure is small and the hospital stay and healing time little. As thermal balloon treatment does not influence the ovaries the normal monthly hormonal cycle will carry on until the usual menopause.

Is this operation helpful?

Yes it is helpful if someone is having heavy periods and the uterus is not greatly enlarged by fibroids and one do not wish to have further children. The operation will probably make the infertile or may complicate a pregnancy. The operation does not dependably prevent pregnancy so someone has not previously had a sterilization operation, then it is better to continue contraceptive precautions. The operation is carried out when the person will be asleep under a general anesthetic.

Often a test of the inside of the uterus with a small telescope and a scrape is carried out first. Then a small balloon is passed by the vagina and cervix into the cavity of the uterus where it is magnified to a set pressure. The fluid in the balloon is heated for a 15 minutes and then the balloon is deflated and detached. The pressure, temperature and the period of the treatment are very carefully observed and controlled.

After the operation there will usually be some period like cramps for the first few hours for which one may need painkillers. People may probably feel tired for a day or two but full activity and work can usually be resumed within a week. A bloodstained vaginal discharge will continue for 4-6 weeks. To avoid the danger of infection during it is best not to use tampons or to have sexual intercourse until the discharge has cleared.

Success rate:

To estimate whether doubling of the heating time would get better success rate of hot fluid balloon treatment, 63 patients were treated for 8 minutes and 67 patients for 16 minutes. There was no dissimilarity between these two groups at the 2-year follow-up.12 at the follow-up, it was recorded whether a hysterectomy had been executed. Standardized follow-up data on duration of menstruation and patient approval were collected 3, 6, 12, and 24 months after surgery, during outpatient visits.

Patient satisfaction was recorded on a four-point scale. Success was defined as patient satisfaction and no following hysterectomy at 2-year follow-up. The aim of the study was to relate potential prognostic factors available before the start of treatment to the amount of an adverse outcome.

Endometriosis Treatments