[In-office hysteroscopic polypectomy: eight years analysis]

To evaluate endometrial polypectomy procedure results through in-office hysteroscopy.

Retrospective study based on a 641 patients sample with endometrial polyp, within 5,103 diagnostic hysteroscopies done at hysteroscopy clinic in the Hospital General Dr. Manuel Gea Gonzalez, from November 1998 to December 2005.

Abnormal uterine bleeding cases had higher rate within premenopausic (2,951, 57.8%) than postmenopausal (347, 6.7%) patients. From 641 hysteroscopy identified endometrial polyps, 490 (76.37%) were in premenopausic and 151 (23.35%) in postmenopausal patients; 468 (73%) of them were unique, 374 (58.5%) < 1 cm in diameter, 133 (20.7%) with a diameter from 1 to 4 cm, and 134 (20.9%) > 4 cm in diameter. Diagnostic and therapeutic hysteroscopy, at the same time, was performed in all the cases (no major complications); one patient had epileptic crisis during polypectomy and another one uterine perforation, treated only with uterotonic agents. Endometrial cancer was detected in 35 cases (5.4%), 12 (34.29%) premenopausic and 23 (65.71%) postmenopausal.

Successful systemic resection can be performed in-office in most endometrial polyps' cases, through hysteroscopic study. This technique allows high rate endometrial polyps detection within studied patients.