Free fluid thermal endometrial ablation

NICE interventional procedures guidance [IPG51] Published date:

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The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on free fluid thermal endometrial ablation.

This guidance has been withdrawn as the use of this procedure is now covered in the Clinical Guideline on Heavy menstrual bleeding, ( NICE has no plans to carry out further assessment of this procedure under the Interventional Procedures Programme.

  • Description

    This procedure is used to treat heavy menstrual periods, also known as menorrhagia.

    Menorrhagia is a very common problem. Hysterectomy has been the standard treatment for women with menorrhagia that has not responded to medical treatment.  Free fluid endometrial ablation is a way of destroying the endometrium by instilling heated saline solution into the uterus under hysteroscopic visualisation.

  • OPCS4.6 Code(s)

    Q16.4 Free circulating saline ablation of endometrium

    Y76.3 Endoscopic approach to other body cavity

    The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.

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