J Menopausal Med.  2014 Aug;20(2):75-79. 10.6118/jmm.2014.20.2.75.

Comparison of Laparoscopic Radiofrequency Myolysis (LRFM) and Ultrasonographic Radiofrequency Myolysis (URFM) in Treatment of Midline Dysmenorrhea

• Cho EA
• Um MJ
• Kim SA
• Kim SJ
• Jung H

• KMID: 2325445
• DOI: http://doi.org/10.6118/jmm.2014.20.2.75

Abstract

OBJECTIVES
To access the effectiveness of radiofrequency myolysis (RFM) in women with midline dysmenorrhea.
METHODS
We designed RFM in two ways laparoscopic RFM (LRFM), vaginal ultrasound-guided RFM (URFM). One hundred and thirty-two patients were in the LRFM group and, 140 patients were in the URFM group.
RESULTS
Upon receipt of surgery, both the LRFM and the URFM groups demonstrated a significant decrease (P < 0.001) in the mean pain score when compared to those before and after surgery.
CONCLUSION
The RF uterine myolysis procedure provides an alternative for those patients who suffer from intractable midline dysmenorrhea. LRFM is an alternative choice because it is relatively safe and, simple to perform and moreover, it is satisfactory. LRFM appears to increasingly succeed in the treatment of midline dysmenorrhea.

Keyword

Dysmenorrhea; Laparoscopy; Leiomyoma; Radiofrequency myolysis; Ultrasonography

MeSH Terms

Dysmenorrhea*
Female
Humans
Laparoscopy
Leiomyoma
Ultrasonography

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