Hysteroscopic resection of endometrial polyps: a study of 195 cases

Eur J Obstet Gynecol Reprod Biol. 2000 Dec;93(2):131-4. doi: 10.1016/s0301-2115(00)00281-5.

Abstract

Objective: To ascertain the therapeutic efficiency of hysteroscopic resection for the treatment of endometrial polyps in women with abnormal uterine bleeding and postmenopausal metrorrhagia.

Setting: University hospital.

Design: Retrospective consecutive patient follow-up.

Material and methods: From 1987 to 1997, 195 patients with haemorrhagic endometrial polyps were treated with hysteroscopic resection in our department.

Results: Five complications occurred, but no major complications were noted. A total of 89.2% of the patients remained in contact after hospitalization. After long term follow-up (5.2 years), successful results were obtained in 80% of the patients with polyp resection without associated endometrial ablation. Further surgery (hysterectomy) was required in only five women.

Conclusion: Transcervical resection is the gold standard for treatment of endometrial polyps.

MeSH terms

  • Adult
  • Aged
  • Endometrial Neoplasms / pathology
  • Endometrial Neoplasms / surgery*
  • Female
  • Humans
  • Hysteroscopy
  • Middle Aged
  • Polyps / pathology
  • Polyps / surgery*