Dysfunctional uterine bleeding surgery

Dysfunctional uterine bleeding Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Dysfunctional uterine bleeding from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Dysfunctional uterine bleeding surgery On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Dysfunctional uterine bleeding surgery All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Dysfunctional uterine bleeding surgery
CDC on Dysfunctional uterine bleeding surgery
Dysfunctional uterine bleeding surgery in the news
Blogs on Dysfunctional uterine bleeding surgery
Directions to Hospitals Treating Dysfunctional uterine bleeding
Risk calculators and risk factors for Dysfunctional uterine bleeding surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S, Vishnu Vardhan Serla M.B.B.S. [2]

Overview

Surgical procedures are reserved for patients that are unresponsive to medical treatment or those that do not desire fertility. Procedures can be specific according to underlying causes of dysfunctional bleeding as well as cancer stage. Common surgical interventions include hysterectomy, endometrial ablation and laparoscopic removal.

Surgery

As surgery is more invasive, it is often reserved for cases uncontrolled by medications or those not desiring fertility. Underlying anatomical cases of DUB are also an indication for surgery. Surgical treatments can be tailored according to the underlying cause of bleeding.

Surgical Options

Condiiton	Surgical Treatment
Polyps	Surgical resection of polyps (polypectomy) Polyps larger than 1.5 cm are unlikely to respond spontaneously and should consider polypectomy Dilation and curettage
Adenomyosis	Hysterectomy Adenomyomectomy Endometrial ablation Uterine artery ligation or embolization
Leiomyoma (fibroids)	Hysterectomy (definitive treatment) Uterine artery embolization Endometrial ablation
Malignancy	Surgical resection +/- adjuvant treatment Surgical Treatment based on Cancer Stage Stage Treatment 1 Transabdominal hysterectomy with bilateral salpingo-oophorectomy 2 Radical or simple hysterectomy along with adjuvant radiotherapy 3 Transabdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic radiation 4 Surgical resection and radiation therapy 5 Palliative care; focus is on improving quality of life
PCOS	Laparoscopic surgery; ovarian drilling
Endometriosis	Hysterectomy Endometrial ablation