Related Experiment Video
Updated: Jul 17, 2026
Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study
Ludovico Muzii1, Filippo Bellati, Milena Pernice
1Department of Obstetrics and Gynecology, University Campus Bio-Medico of Rome, Rome, Italy. l.muzii@unicampus.it <l.muzii@unicampus.it>
Objective:
To evaluate operative resectoscopy versus hysteroscopic bipolar electrode excision for the treatment of endometrial polyps.
Design:
Prospective, randomized study.
Setting:
Tertiary-care university hospital.
Patient(S):
One hundred consecutive patients with endometrial polyps.
Intervention(S):
Patients underwent diagnostic hysteroscopy, and after assignment on a random basis, they underwent polyp excision either by operative resectoscopy or by a bipolar electrode passed through the operating sheath of a small-caliber hysteroscope. MAIN OUTCOME MEASURE(S) AND RESULT(S): Operating times, difficulty of the operation, surgeon satisfaction with the procedure, intra- and postoperative complications, postoperative pain, and patient satisfaction were recorded. The two procedures did not differ in total surgery times. In subgroup analysis, the resectoscope was faster for large polyps (>2 cm) and for polyps with a fundal implant. The bipolar electric probe was faster for small polyps (<2 cm) and for polyps with a nonfundal implant.
Conclusion(S):
Operative resectoscopy appears to be the technique of choice for endometrial polyps >2 cm or with a fundal implant. Bipolar electrode excision appears to be preferable for smaller, nonfundal polyps.
