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Updated: Jan 10, 2026
Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
A safety and feasibility study of manual vacuum aspiration for endometrial polyp-like lesions; a prospective case
Akihiko Misawa1, Kiyono Osanai2, Naomi Furuma2
1Kosei Hospital, Department of Obstetrics and Gynecology, Kyorin University Suginami Hospital, 2-25-1 Wada, Suginami-ku, Tokyo, 166-0012, Japan. aki-mz@diana.dti.ne.jp.
Background:
This study aimed to evaluate the safety and feasibility of manual vacuum aspiration (MVA) for the removal of endometrial polyp-like lesions, an approach potentially simpler and less resource-intensive than conventional hysteroscopic techniques.
Methods:
We conducted a prospective case series including 29 patients with suspected endometrial polypoid lesions based on ultrasound findings. After informed consent, transcervical resection (TCR) using a 26Fr rigid resectoscope was performed to visualize the uterine cavity. MVA was then applied to aspirate the endometrial tissue, including polyp-like lesions, immediately followed by TCR to check for residual tissue. Clinical data were collected for each patient, and the study was approved by the institutional review board.
Results:
Complete removal by MVA alone was achieved in 25 of 29 patients (86.2%). In 4 cases (13.8%) with lesions > 20 mm and thick stalks, additional TCR was required for complete resection. The number of aspirations in complete cases ranged from 1 to 3. No perioperative complications occurred.
Conclusions:
MVA is a safe, simple, and cost-effective technique for removing small-to-moderate endometrial polyp-like lesions. Except for particularly large polyps, MVA may represent a viable alternative to hysteroscopic resection, reducing the need for specialized equipment.
