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OBJECTIVE The purpose of this study was to estimate the outcomes of uterine embolization and hysterectomy for uterine leiomyomas. Study design This was a multicenter prospective study of patients who were treated with embolization (n=102 patients) and hysterectomy (n=50 patients) for leiomyomas. Changes in symptoms, complications, and quality of life were(More)
BACKGROUND Unlike laparoscopic surgery for interval tubal sterilization, a hysteroscopic approach obviates surgical incision and requires only local anaesthesia or intravenous sedation. The safety, tolerability and efficacy of an hysteroscopically placed micro-insert device was evaluated. METHODS A cohort of 227 previously fertile women participated in(More)
The ever-increasing value of diagnostic and operative hysteroscopy for patients with AUB serves as an appropriate, although belated, tribute to Pantaleoni who in 1869 dared to look inside a woman's uterus. Future generations of women and their physicians will be indebted to this physician-pioneer. Contemporary instrumentation permits the gynecologist to(More)
PURPOSE We evaluate the safety and efficacy of a new treatment modality for genuine stress urinary incontinence which was a transvaginal radio frequency applicator to deliver radio frequency energy to the endopelvic fascia. The purported mechanism of effect for this therapy is shrinkage of the collagenated tissue which composes the endopelvic fascia that(More)
BACKGROUND Extracapsular extension (ECE) of disease from cervical lymph nodes (LNs) is an important prognostic factor for head and neck cancers; moreover, the presence of ECE has been shown to be a criterion for the addition of chemotherapy to postoperative radiation. METHODS We reviewed the frequency of ECE in the Surveillance, Epidemiology, and End(More)
Hysteroscopic findings in 323 consecutive women requesting transcervical sterilization were analyzed. A remarkably low incidence of intrauterine abnormalities (13%) was found in this group of asymptomatic women as compared to that found in large series of women who experienced abnormal uterine bleeding or infertility. The dramatic difference in the(More)
STUDY OBJECTIVE To compare the safety and effectiveness of the NovaSure impedance-controlled endometrial ablation system with hysteroscopic wire loop resection plus rollerball ablation for treatment of excessive uterine bleeding in premenopausal women. DESIGN Randomized, multicenter, double-arm study (Canadian Task Force classification I). SETTING Nine(More)
OBJECTIVE To assess the safety, effectiveness, and reliability of a tubal occlusion microinsert for permanent contraception, as well as to document patient recovery from the placement procedure and overall patient satisfaction. METHODS A cohort of 518 previously fertile women seeking sterilization participated in this prospective, phase III,(More)