Impedance-controlled endometrial ablation for menorrhagia (IPG104)
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on impedance controlled bipolar radiofrequency ablation for menhorragia.
Impedance-controlled bipolar radiofrequency ablation is used to treat heavy menstrual periods, also known as menorrhagia.
Menorrhagia is a very common problem. Hysterectomy has been the standard treatment for women with menorrhagia who have not responded to medical treatment. Minimally invasive procedures to destroy the lining of the uterus (the endometrium) are alternatives to hysterectomy. They involve destroying the endometrium using lasers, radiofrequency waves, electrocautery, microwaves, heated saline, or a heated balloon. Impedance-controlled radiofrequency ablation is one of these minimally invasive procedures.
Under general or local anaesthetic, a sheath containing a bipolar radiofrequency electrode is placed through the cervix. This sheath is pulled back, allowing the electrode to expand and conform to the shape of the uterine cavity. Radiofrequency energy is then delivered into the uterus via the electrode. The electrode is then retracted back into the sheath and removed from the uterus. No endometrial pre-treatment is necessary.
Fibroids or large polyps inside the cavity of the uterus may interfere with the placement of the device.
Q16.5 Radiofrequency ablation of endometrium
The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. www.connectingforhealth.co.uk/clinicalcoding
- IPG104 Impedance-controlled bipolar radiofrequency ablation for menorrhagia: guidance
- Impedance-controlled endometrial ablation for menorrhagia: guidance (Web format)
- IPG104 Impedance-controlled bipolar radiofrequency ablation for menorrhagia: understanding NICE guidance
- IPG104 Impedance-controlled bipolar radiofrequency ablation for menorrhagia: distribution list
- Interventional procedure consultation document - impedance-controlled bipolar radiofrequency ablation for menorrhagia
- Overview of impedance-controlled bipolar radiofrequency ablation for menorrhagia
This page was last updated: 19 June 2012
- Web format
- Full Guidance (PDF)
- IPG104 Abladiad radio-amledd deubegwn dan reolaeth rhwystriant ar gyfer gorfislif: deall canllawiau NICE
Information for the public
Implementation tools and resources
- None available
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.