Hematocervix as a complication after thermal balloon ablation

Authors: Z. Šurdová;  A. Quireshi
Authors‘ workplace: Royal United Hospital, Bath, Veľká Británia primár oddelenia Mr D. Walker MD, MRCOG, MBChB
Published in: Ceska Gynekol 2016; 81(1): 20-22


Case report of the hematocervix following thermal balloon ablation.

Case report.

Department of Gynecology and Obstetric, Royal United Hospital in Bath, UK.

Case report of the 46-year-old patient who has been treated in our department due to the hematocervix following thermal balloon ablation. We discuss the etiopathogenesis in the discussion section.

A cyclical bleeding from the area of the cervix or hematocervix is a rare complication of subtotal hysterectomy. Our case report describes the first reported case following thermal balloon ablation.

thermoablation, thermal balloon ablation, hematocervix


1.Amso, NN., Stabinsky, SA., McFaul, P., et al. Uterine thermal balloon therapy for the treatment of menorrhagia: The first 300 pacients from a multicenter study. Brit J Obstet Gynaecol, 1998, 105(2), p. 517–523.

2.Clark, TJ., Gupta, JK. Outpatient thermal ballon ablation of the endometrium. Fertil Steril, 2004, 82, 5, p. 1395–1401.

3.Donnez, J., Nisolle, M., Smets, M., et al. Laparoscopic supracervical (subtotal) hysterectomy (a first series of 500 cases). Gynecol Endoscopy, 1997, 6, p. 73–76.

4.Ghomi, A., Hantes, J., Lotze, EC. Incidence of cyclical bleeding after laparoscopic supracervical hysterectomy. J Minim Invasive Gynecol, 2005, 12(3), p. 201–205.

5.Golbrath, M., Fuller, T., Segal, S. Laser photovaporisation of endometrium for the treatment of menorrhagia. Am J Obstet Gynecol, 1981, 140(14), p. 14–19.

6.Hazard, D., Harkins, G. Patient satisfaction with thermal balloon ablation for treatment of menorrhagia. Am J Obstet Gynecol, 2009, 200(5), p. 21–23.

7.Hernández-Valencia, M., Castellanos-Peralta, O., Montes-Hernández, D. Hematocervix, a new variety of hematometra. A case report. VH, 2014, 82(11), p. 778–783.

8.Holub, Z., Kužel, D., et al. Minimálně invazivní operace v gynekologii. Praha: Grada, 1. vyd., 2005, p. 210–217.

9.Hulka, JF., Peterson, HB., Philips, JM., et al. Operative hysteroscopy American association of Gynecologic Laparoscopists, 1991 membership survey. J Reprod Med, 1995, 2(2), p. 131–132.

10.Jansen, FW., Vredevoogd, CB., van Ulzen, K., et al. Complication of hysteroscopy: a prospective study. Obstet Gynecol, 2000, 96(2), p. 266–270.

11.Kalstone, C. Cervical stenosis in pregnancy: Complication of cryotherapy in diethylstilbestrol-exposed women. Am J Obstet Gynecol, 1992, 166(2), p. 502–503.

12.Lethaby, A., Hickey, M., Garry, R. Endometrial destruction techniques for heavy menstrual bleeding. Cochrane Database Syst Rev, 2005, 19(4), CD001501.

13.March, F., Bekker, H., Duffy, S. A survey of women‘s views of thermachoice endometrial ablation in the outpatient versus day case setting. BJOG, 2008, 115(1), p. 31–37.

14.March, F., Thewlis, J., Duffy, S. Thermachoice endometrial ablation in the outpatient setting, without local anesthesia or intravenous sedation: a prospective cohort study. Fertil Steril, 2005, 83(3), p. 715–720.

15.Meyer, WR., Walsh, BW., Grainger, DA., et al. Thermal balloon and rollerball ablation to treat menorrhagia: A multicenter comparision. Obstet Gynecol, 1998, 92(1), p. 98–103.

16.Okaro, E., Jones, K., Sutton, C. Long term outcome following laparoscopic supracervical hysterectomy. Brit J Obstet Gynecol, 2001, 108(10). P. 1017–1020.

17.Pados, G., Athantos, D., Tsolakidis, D., et al. Treatment options for dysfunctional uterine bleeding: evaluation of clinical results. Gynecol Surg, 2011, 8, p. 385–393.

18.Propst, AM., Liberman, RF., Harlow, BL., et al. Complication of hysteroscopic surgery: predicting patient at risk. Obstet Gynecol, 2000, 96(4), p. 517–520.

19.Richards, SR., Simpkins, S. Laparoscopic supracervical hysterectomy versus laparoscopic-assisted vaginal hysterectomy. J Am Assoc Gynecol Laparosc, 1995, 62(2) p. 431–435.

20.Soysal, ME., Soysal, SK., Vicdan, K. Thermal balloon ablation in myoma-induced menorrhagia under local anesthesia. Gynecol Obstet Invest, 2001, 128, p. 51.

21.Van der Stege, JG., Van Beek, JJ. Problems related to cervical stump at follow-up in laparoscopic supracervical hysterectomy. J Soc Laparosc Surg, 1999, 3(1), p. 5–7.

22.Vilos, GA. Uterine balloon therapy for the treatment of menorrhagia. J Am Assoc Gynecol Laparosc, 1996, 554(2).

23.Zupi, E., Fulvio, Z., Marconi, D., et al. Hysteroscopic endometrial resection versus laparoscopic supracervical hysterectomy for menorrhagia (A prospective randomized trial). Am J Obstet Gynecol, 2003, 188(7), p. 7–12.

Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 1

2016 Issue 1

Most read in this issue
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account