Dysfunctional uterine bleeding surgery: Difference between revisions

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{{Dysfunctional uterine bleeding}}
{{Dysfunctional uterine bleeding}}
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{{CMG}} {{AE}} [[User:AroojNaz|Arooj Naz]], {{VVS}}
== Surgery ==  
 
== Overview ==
Surgical procedures are reserved for patients that are unresponsive to medical treatment or those that don't desire fertility. Procedures can be specific according to underlying caused of dysfunctional bleeding.
 
==Surgery==
 
 
As surgery is more invasive, it is often reserved for cases uncontrolled by medications or those not desiring fertility.<ref name="pmid15117012">{{cite journal| author=Albers JR, Hull SK, Wesley RM| title=Abnormal uterine bleeding. | journal=Am Fam Physician | year= 2004 | volume= 69 | issue= 8 | pages= 1915-26 | pmid=15117012 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15117012  }}</ref> Underlying anatomical cases of DUB are also an indication for surgery. Surgical treatments can be tailored according to the underlying cause of bleeding.
{| class="wikitable"
|+Surgical Options
!Condiiton
!Surgical Treatment<ref name="pmid304225082">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume=  | issue=  | pages=  | pmid=30422508 | doi= | pmc= | url= }}</ref>
|-
|Polyps
|
* Surgical resection of polyps (polypectomy)
|-
|Adenomyosis
|
* Hysterectomy
* Hysterectomy
* Adenomyomectomy
|-
|Leiomyomas (fibroids)
|
* Hysterectomy
* Uterine artery embolization
* Endometrial ablation
* Endometrial ablation
=== Indications for Surgery ===
|-
* Anatomic causes
|Malignancy
* If fertility is not desired
|
 
* Surgery +/- adjuvant treatment
* Palliative therapy; such as radiotherapy
|-
|PCOS
|
* [[Laparoscopic surgery]]; ovarian drilling
|-
|Endometriosis
|
*Hysterectomy
*Endometrial ablation
|}
<br />
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 07:16, 14 March 2022

Dysfunctional uterine bleeding Microchapters

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

Overview

Surgical procedures are reserved for patients that are unresponsive to medical treatment or those that don't desire fertility. Procedures can be specific according to underlying caused of dysfunctional bleeding.

Surgery

As surgery is more invasive, it is often reserved for cases uncontrolled by medications or those not desiring fertility.[1] 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[2]
Polyps
  • Surgical resection of polyps (polypectomy)
Adenomyosis
  • Hysterectomy
  • Adenomyomectomy
Leiomyomas (fibroids)
  • Hysterectomy
  • Uterine artery embolization
  • Endometrial ablation
Malignancy
  • Surgery +/- adjuvant treatment
  • Palliative therapy; such as radiotherapy
PCOS
Endometriosis
  • Hysterectomy
  • Endometrial ablation


References

  1. Albers JR, Hull SK, Wesley RM (2004). "Abnormal uterine bleeding". Am Fam Physician. 69 (8): 1915–26. PMID 15117012.
  2. "StatPearls".   ( ). 2022:  . PMID 30422508.

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