Postablation Tubal Sterilization Syndrome with Hematometra After Thermal Balloon Ablation

Abstract

Abstract

Endometrial ablation has become an acceptable alternative to a hysterectomy for treating women with menorrhagia. The endometrial ablation techniques have fairly low complication rates and satisfactory outcomes; however, complications, including uterine perforation, fluid overload, acute bleeding, infection, hematometra, and postablation tubal sterilization syndrome (PATSS), can occur. Initially described in 1993, PATSS is thought to occur due to postablation adhesions, leading to menstrual reflux into the blocked fallopian tubes. This rare complication has been shown in the literature following hysteroscopic rollerball endometrial ablation, but has only been documented once following global thermal balloon ablation. In this paper, we present a case of PATSS and hematometra 4 months after a thermal balloon endometrial ablation. (J GYNECOL SURG 25:17)