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Which endometrial polyps should be resected?
T Perez-Medina1, O Martinez, G Folgueira
1Department of Obstetrics and Gynecology, Getafe University Hospital, Madrid, Spain.
Study Objective:
To evaluate the efficacy of color Doppler exploration after diagnostic hysteroscopy in choosing which endometrial polyps can be safely left in situ.
Design:
Prospective, long-term follow-up study (Canadian Task Force classification II-1).
Setting:
University hospital.
Patients:
Two hundred twenty women with hysteroscopically confirmed endometrial polyps.
Interventions:
Transvaginal ultrasonographic surveillance with color Doppler mapping and hysteroscopic resection.
Measurements And Main Results:
We removed 126 (57.2%) polyps because of positive color Doppler map, and 29 (13.1%) with a negative color Doppler map because of symptoms. Sixty-five (29.5%) polyps were not removed because they did not cause symptoms and no Doppler map was found. At follow-up, six were removed because of hemorrhagic episodes. At 3 years, 59 patients with endometrial polyps remained asymptomatic by clinical and ultrasonographic follow-up.
Conclusion:
In this series, 59 patients (26.8%) avoided surgical removal of polyps. (J Am Assoc Gynecol Laparosc 6(1):71-74, 1999)