Juniper Publishers: Not So Good Vibrations: Vascular Reflux and the Sensation of Retropubic Vibration following Nova sure Endometrial Ablation
JUNIPER PUBLISHERS- JOURNAL OF GYNECOLOGY AND WOMEN’S HEALTH Journal of Gynecology and Women’s Health-Juniper Publishers Authored by Romy Nitsch * Abstract Background: One in five women suffer from abnormal uterine bleeding and endometrial ablation often successfully treats refractory abnormal uterine bleeding. The second-generation Nova Sure endometrial ablation system is effective and safe. We report a case of vascular reflux from ovarian vessels creating a retropubic vibration after Nova Sure endometrial ablation. Case: A 48-year-old woman with an endometrial ablation six months previously presented with a confusing complaint of retropubic vibration that had been dismissed by several physicians as impossible to explain. Investigation revealed left ovarian varicosities and an aberrant vessel behind the pubic symphysis that coursed from the left uterine venous sinus into the right internal iliac vein. Conclusion: