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Endometrial cryotherapy for menorrhagia

Guidance issued Guidance issued
 
IP Guidance Number: IPG157
 
Summary:

The National Institute for Clinical Excellence (NICE) has issued full guidance to the NHS in England, Scotland and Wales on endometrial cyrotherapy for menorrhagia

Description:

Endometrial cryotherapy (or cryoablation) involves using cold temperatures to freeze and destroy the lining of the uterus (called endometrium). The procedure can be performed under general, regional or local anaesthesia, although sometimes no anaesthesia is required.

A probe (also called cryoprobe) is inserted through the vagina and cervix into the uterus and is cooled by passing either liquid nitrogen or a compressed gas mixture through it. The tip of the probe is the site of freezing and is placed in the top part of the uterus. Activating the freeze cycle of the probe generates an ice ball in the uterus which destroys the target area of endometrial tissue. The freeze cycle is followed by a heat (thaw) cycle which allows the probe to be removed. Ultrasound is used to monitor the position of the probe and depth of freezing across the endometrium. Additional freeze/thaw cycles may be repeated if necessary.

Arrangements:

Other (see guidance)

Topic Area:

Gynaecology, pregnancy and birth

Specialty:

Obstetrics and gynaecology

Specialist advice has
been sought from:

Royal College of Obstetrics & Gynaecology

British Society of Gynaecological Endoscopy

Royal College of Radiologists

Date notified to NICE: 09 April 2005
Provisional Consultation Date: December 2005
Guidance Publication Date: 22 March 2006
Contact Details:
Project Manager
(for general enquiries or comments)
Ben Doak
ip@nice.org.uk
Technical Lead
(for procedure specific enquiries or comments)
Kan Choy
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


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