Outpatient hysteroscopic polypectomy in postmenopausal women: a comparison between mechanical and electrosurgical resection

Journal of Minimally Invasive Gynecology
G GarutiM Luerti

Abstract

Comparison of operating outcomes of office hysteroscopic polypectomy accomplished by mechanical or bipolar electrosurgical instrumentation. Prospective study (Canadian Task Force classification II-1). Public hospital. A total of 101 consecutive postmenopausal patients showing, during office hysteroscopy, 1 or more endometrial polyps measuring more than .5 cm. Hysteroscopy was carried out with a 2.9-mm optic and a 3.9-x5.9-mm sheathed operative hysteroscope, without local anesthesia or systemic analgesia. The diagnostic phase was immediately followed by polyp resection, alternatively allocating the patients to mechanical or electrosurgical polypectomy. Hysteroscopic scissors were used for mechanical polypectomy, whereas 5F coaxial bipolar twizzle electrodes were used for electrosurgical polypectomy. Effectiveness of polypectomy, operation time, and evaluation of induced pelvic pain (scored on a 1-10 cm visual analog scale), were the end points of comparison between the 2 techniques. Nine patients were excluded because of severe pelvic pain arising in the diagnostic phase or the finding of an oversize polyp requiring an estimated time of more than 30 minutes to be removed in the office setting. Of the remaining 92 patients, 46 un...Continue Reading

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