Hysteroscopic resection of endometrial polyps: a study of 195 cases

Abstract

Objective: To ascertain the therapeutic efficiency of hysteroscopic resection for the treatment of endometrial polyps in women with abnormal uterine bleeding and postmenopausal metrorrhagia.

Setting: University hospital.

Design: Retrospective consecutive patient follow-up.

Material and methods: From 1987 to 1997, 195 patients with haemorrhagic endometrial polyps were treated with hysteroscopic resection in our department.

Results: Five complications occurred, but no major complications were noted. A total of 89.2% of the patients remained in contact after hospitalization. After long term follow-up (5.2 years), successful results were obtained in 80% of the patients with polyp resection without associated endometrial ablation. Further surgery (hysterectomy) was required in only five women.

Conclusion: Transcervical resection is the gold standard for treatment of endometrial polyps.