Endometrial ablation vs hysterectomy for heavy menstrual bleeding | Alyaa Mostafa

Summary :
⁣A total of 12RCTs with 2028 women (hysterectomy: n=977 women vs E:A/R: n = 1051 women) were included. Hysterectomy was compared with only endometrial ablation in five studies and only endometrial resection in five studies and both ablation and resection in two studies. Meta-analysis found that women in the hysterectomy group were more likely to show patient-reported and objective outcomes improving in HMB comparing with EA/R (risk ratio(RR)0.75, 95%CI:0.71,0.79) and (MD44.00, 95%CI:36.09,51.91)respectively. Patient-satisfaction was higher after hysterectomy up-to 2-years follow-up, (RR:0.90, 95%CI:0.86,0.94) but this effect was absent with longer term followup. EA/R had lower risk of adverse-outcomes for sepsis (RR:0.03, 95%CI:0.00,0.56), wound infection (RR:0.05, 95%CI:0.01,0.28) and urinary tract infection (RR:0.20,95%CI:0.10, 0.42) but higher risk of fluid-overload (RR:7.80,95%CI:2.16,28.16) and perforation (RR:5.42,95%CI:1.25,23.45).


About Author :
⁣Alyaa graduated in Medicine at Faculty of Medicine Kasr Al Ainy - Cairo University in 1997 and had training in obstetrics and gynaecology, then joined the University of Aberdeen in 2009.Currently she is a clinical lecturer and research fellow in urogynecology following obtaining of her MD in 2014. She is interested in medical education and obtained diploma in medical education 2016. She supervises students’ medical elective and intercalated BSc projects. Currently, Alyaa is Year 1 Deputy Lead Coordinator and Year 1 OSCE lead. Also, she is coordinator for “women’s health in a global setting online course” and Alyaa is a member of the Aberdeen Centre for Women’s Health Research and focuses on improving women’s health.