Study objective: To compare results of endometrial ablation using the Vesta system compared with resection and rollerball.
Design: Multicenter, prospective, randomized, controlled study (Canadian Task Force classification I).
Setting: Private practice and academic center.
Patients: Women with menorrhagia documented by menstrual diaries who failed or refused hormonal therapy and who had no major uterine organic lesions.
Interventions: Vesta endometrial ablation or traditional endometrial resection and rollerball ablation.
Measurements and main results: Both groups achieved excellent control of menorrhagia.
Conclusion: Vesta is an attractive alternative to traditional methods of endometrial ablation. (J Am Assoc Gynecol Laparosc 6(1):45-49, 1999)