Transcervical resection of the endometrium
History of transcervical resection of the endometrium (TCRE)
- Neuwrith (1978) described the resection of a submucous fibroid. In 1983, he discussed the possibility of systematic resection of the endometrium to the isthmus using a cutting loop fitted to an operating resectoscope.
- Decherney discussed his experience with resectoscopic electrocoagulation when he treated a series of patients with intractable and life-threatening uterine bleeding with good results in 1983 and 1987.
- Jacques Hamou (1985) described endometrial resection using a modified technique. He used a continuous flow resectoscope and non-viscous fluid to perform partial resection of the endometrium aiming to reduce menstrual blood flow.
- In 1988, Magos described TCRE, which is similar to transurethral resection of the prostate (TURP) in urology.
© S Jackson & N Price, John Radcliffe Hospital, Oxford.