New-onset pelvic organ prolapse after Novasure endometrial ablation

Arch Gynecol Obstet. 2008 Aug;278(2):187-9. doi: 10.1007/s00404-007-0546-7. Epub 2008 Jan 12.

Abstract

Background: Endometrial ablation with bipolar radiofrequency energy (NovaSure) for dysfunctional uterine bleeding has gained wide acceptance due to its ease and efficacy.

Case: A 45-year-old, gravida three, para two, female developed symptomatic Stage 3 pelvic organ prolapse (POP) 1 month after endometrial ablation using NovaSure.

Conclusion: To our knowledge, this is the first published case of new-onset POP briefly after an endometrial ablation. It is not clear whether there is a causal association between the ablation procedure and de novo POP. Should there be any additional cases of de novo POP post endometrial ablation, further investigation would be warranted.

Publication types

  • Case Reports

MeSH terms

  • Catheter Ablation / adverse effects*
  • Female
  • Humans
  • Metrorrhagia / therapy*
  • Middle Aged
  • Uterine Prolapse / etiology*
  • Uterine Prolapse / surgery