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Hysteroscopic resection of endometrial polyps: a study of 195 cases
L Cravello1, V Stolla, F Bretelle
1Service de Gynécologie-Obstétrique B, Hôpital de la Conception, 147 Bd. Baille, 13385 Marseille Cedex 5, France.
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.