Rollerball endometrial ablation: new treatment options for women.

1. Endometrial ablation with a rollerball electrode is an alternative to hysterectomy for selected women with menorrhagia. Patients are usually discharged the same day and recover more quickly than women who undergo hysterectomy. 2. Preoperative patient preparation includes endometrial suppression through drug therapy and placement of a laminaria tent in the uterine cervix. 3. Because large amounts of irrigating solution are used during the procedure, careful monitoring of fluid balance is essential to avoid fluid overload. 4. Diagnostic hysteroscopy is useful for evaluating abnormal bleeding.