Re: GYN:Uterine Balloon Therapy

From: Richard Chudacoff, MD (richardc@bcm.tmc.edu)
Thu Mar 5 08:28:48 1998


>>Has anyone had experience with the Thermachoice Uterine Balloon Therapy.
>>Supposedly with some IV sedation and a paracervical it can even be done
>>in the office. We were just 'detailed' on it in Joplin, MO. last week
>>and it seems interesting. They claim that only 4000 cases have been
>>done, however.
>>
>>Ron Bopp, M.D.
>>Grove, Oklahoma
>>
>Just saw the system at the World Congress of Hysteroscopy. According to
>the sales people there at present it is being done only in a hosapital
>setting. The patient need s a workup including hysteroscopy or u/s
>hystroscopy before use. Must r/o fibroids or polyps, will not work with
>these.
>Myer
>

Couldn't saline sonohysterography rule out the same? Seems to me that you would need the same type of sedation as for office hysteroscopy when performing thermocoagulation of the endometrium. Just like LEEP I'm sure this will be an office procedure soon.

What I find interesting is the number of different modalities. There is the ballon, but also there is a technique for just instilling warmed saline, and having it circulated by an intrauterine device. The latter seems as if it would get more of the endometrium, and actually has a pressure gauge that stops the instillation if it detect flow through the fallopian tubes.

What do y'all think. Or will this go the way of the roller ball?

Rick

--
Richard Chudacoff, MD
Assistant Professor, OB/GYN
Baylor College of Medicine

Practice Medical Director BaylorMedCare 4911 Sandhill Rd. Sugar Land, TX 77479 (Yep, home town of Tara 'look at her twirl' Lapinski) tel 281-634-9600 fax 281-634-9601

Advisory Board-OBGYN.net http://www.obgyn.net/board/chudacoff.htm http://www.obgyn.net/pages/chudacoff/home.htm

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