Baumann reported his successful experience with endometrial electrocoagulation, with low failure rate and few complications. At the time, surgeons used electrodes in a blind fashion with no anaesthesia. More recently in the 1980s Townsend and Vancaillie used the rollerball for endometrial ablation.
Indications are similar to those for TCRE but unlike the loop electrode, the rollerball cannot be used to remove submucous fibroids. In addition, the endometrium needs to be relatively thin at the time of surgery.
Contraindications are similar to those for TCRE.
Complications are similar to those for TCRE but there is less risk of uterine perforation.