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Preliminary experience with the VersaPoint bipolar resectoscope using a vaporizing electrode in a saline distending
1Department of Obstetrics and Gynecology, University of Arizona at Tucson, 3410 N. 4th Avenue, Phoenix, AZ 85013, USA.
Objective:
To evaluate a new bipolar resectoscope that uses physiologic saline as a distending medium.
Design:
Clinic-based, prospective, non-randomized study (Canadian Task Force classification II-2).
Setting:
A free-standing ambulatory surgical facility. Patients. Eleven women with menorrhagia or menometrorrhagia and four with menorrhagia and infertility.
Intervention:
Hysteroscopic removal of submucosal myomas with concomitant endometrial ablation in seven patients.
Measurements And Main Results:
Complete removal of the submucosal myoma was achieved in all 15 patients. Eight patients had a European Society of Gynecologic Endoscopy type II myoma, five had a type I, and two had a type zero. Five patients had multiple myomas. There were no complications.
Conclusions:
The bipolar resectoscope is effective in the removal of submucosal myomas and in this series allowed completion of several cases that probably could not have been done with a traditional monopolar resectoscope.