الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Menorrhagia is a common problem for many women in their reproductive age, with significant impact on their medical, social , economic and psychological well-being .
Hysterectomy, after failure and/ or intolerability to medical treatment , is an effective method but it is found to be associated with high morbidity and mortality rates.
Hysteroscopic surgery is effective and is associated with reduced morbidity, mortality, hospitalization and convalescence when compared with hysterectomy. It, however, requires additional specialized training and surgical experience and involves a significant learning curve. Moreover, serious complications may occur. Other methods for endometrial ablation were produced including first generation and second generation techniques, but they are still either difficult or expensive.
This study was conducted on twenty patients fulfilling the following criteria: premenopausal , had a documented history of dysfunctional uterine bleeding , with failed medical therapy, uterine size equal to or lass than 12 cm , benign endometrial biopsy and all selected patients have completed their family number with no desire to preserve their fertility .
The technique was simply done by inserting the balloon of Foley’s catheter inside the uterine cavity, and inflate the balloon by boiling saline for 9 minutes, then hysterectomy was done and the uterus was sent to histopathology laboratory to study the histological effects of thermal injury .
The results proved that as 95% of biopsies was affected by hyperaemia , in 80 % of biopsies there was endometrial haemorrhage , in 75 % of biopsies there was fragmentation of endometrial glands .
The myometrium was also affected in 60% of biopsies by foci of haemorrhage, and in 55% of biopsies by dilated blood vessels.
These findings are possibly the early pathological evidence of permanent tissue destruction There was almost no complications. So, this simple technique could be one of the easiest and most promising alternatives to the conventional management of the eternal problem of menorrhagia.