Management of menorrhagia with hydrothermal endometrial ablation in 2 women with bicornuate uteri.

The majority of second generation endometrial ablation techniques are contraindicated in abnormal shaped uteri. We present two cases of bicornuate uteri with menorrhagia that have been successfully treated with Hydrothermal Ablation (HTA). To our knowledge this is the first report that describes the application of HTA in bicornuate uteri. One treatment was adequate to treat one of the patients, but in the other patient each cavity had to be treated separately. Both women were amenorrheic six months after the operation. We consider HTA as a safe alternative to hysterectomy in women with menorrhagia and congenital uterine abnormalities since simultaneous hysteroscopic view of the endometrial cavity allows proper adjustment of the procedure according to the shape of the uterus.