OBJECTIVE: A comparison of surgical and medical approaches to the therapy of @entity931 . DESIGN: A review article. SETTING: Obstetrics and Gynaecological Department of the Masaryk Hospital in Ust   nad Labem. SUBJECT: A comparison is made of advantages and disadvantages of different types of therapy of @entity931 after introduction of minimal-invasive techniques of endometrial ablation. Details are given of the comparison of standard and global techniques of endometrial ablation and hysterectomy. Results of several randomised studies, especially retreatment rate, @entity1 's satisfaction and cost-effectiveness are compared. CONCLUSION: Endometrial ablation is an accepted standard alternative to hysterectomy for therapy of @entity931 ; it is not intended to replace hysterectomy. Hysterectomy ought to be the second-line treatment after ablation failures or for noncandidates for ablation. Mini-invasive techniques may be used as the first-line surgical option instead of medical therapy. Standard methods of endometrial ablation give 8-9 in 10 @entity1 definite chance of avoiding hysterectomy. Global techniques must be assessed in randomised studies. The individualisation of therapy and detailed information given to @entity1 lead to higher satisfaction with their treatment outcome.

[Treatment of XXXX --a surgical or medical approach?].

@entity1 :: ('9606', 'Species') :: ['patient', 'women'] @entity931 :: ('MESH:D008595', 'Disease') :: ['menorrhagia']
@entity931 :: (MESH:D008595,Disease) :: ['menorrhagia']
