Effectiveness of different methods for polypectomy in the menopause: a retrospective study

Area of Science:

• Gynecology
• Reproductive Medicine
• Surgical Pathology

Background:

• Endometrial polyps are common, often arising from focal endometrial hyperplasia.
• While several diagnostic methods exist, hysteroscopy offers superior sensitivity and specificity.
• Hysteroscopy also allows for simultaneous diagnosis and treatment of endometrial pathology.

Purpose of the Study:

• To evaluate the effectiveness of resectoscopic polypectomy versus curettage for endometrial polyps.
• To compare the histological verification rates between the two surgical methods.
• To assess and compare the recurrence rates of endometrial polyps following each treatment modality.

Main Methods:

• A retrospective study of 424 patients undergoing hysteroscopy for endometrial polyps between 2006 and 2018.
• Polyps were removed via resectoscopic polypectomy or curettage.
• All excised polyp samples underwent histological examination.

Main Results:

• Resectoscopic polypectomy was performed in 62.97% of cases, while curettage was used in 37.03%.
• Malignancy was detected in 4.24% of polyps.
• Histological verification was significantly higher with resectoscopy (79.4%) compared to curettage (69.04%) (p < 0.01).
• Recurrence rates were lower after resectoscopy (20.47%) than after curettage (27.12%).

Conclusions:

• Hysteroscopy remains the gold-standard diagnostic and therapeutic procedure for endometrial pathology.
• Resectoscopic polypectomy demonstrates superior histological accuracy and a reduced recurrence rate compared to curettage for endometrial polyps.