| Abstract | OBJECTIVE: To evaluate operative resectoscopy versus hysteroscopic bipolar electrode excision for the treatment of endometrial polyps. DESIGN: Prospective, randomized study. SETTING: Tertiary-care university hospital. PATIENT(S): One hundred consecutive patients with endometrial polyps. INTERVENTION(S): Patients underwent diagnostic hysteroscopy, and after assignment on a random basis, they underwent polyp excision either by operative resectoscopy or by a bipolar electrode passed through the operating sheath of a small-caliber hysteroscope. MAIN OUTCOME MEASURE(S) AND RESULT(S): Operating times, difficulty of the operation, surgeon satisfaction with the procedure, intra- and postoperative complications, postoperative pain, and patient satisfaction were recorded. The two procedures did not differ in total surgery times. In subgroup analysis, the resectoscope was faster for large polyps (>2 cm) and for polyps with a fundal implant. The bipolar electric probe was faster for small polyps (<2 cm) and for polyps with a nonfundal implant. CONCLUSION(S): Operative resectoscopy appears to be the technique of choice for endometrial polyps >2 cm or with a fundal implant. Bipolar electrode excision appears to be preferable for smaller, nonfundal polyps. |
| Authors | Ludovico Muzii, Filippo Bellati, Milena Pernice, Natalina Manci, Roberto Angioli, Pierluigi Benedetti Panici
(Affiliation: Department of Obstetrics and Gynecology, University Campus Bio-Medico of Rome, Rome, Italy. l.muzii at unicampus.it <l.muzii at unicampus.it>)
|
| Journal | Fertility and sterility
(Fertil Steril)
Vol. 87
Issue 4
Pg. 909-17
(Apr 2007)
ISSN: 1556-5653 United States |
| PMID | 17239873
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
|
| Topics |
- Adolescent
- Adult
- Aged
- Electrodes
- Endometrial Neoplasms
(diagnosis, pathology, surgery)
- Female
- Humans
- Hysteroscopes
- Hysteroscopy
(methods)
- Middle Aged
- Polyps
(diagnosis, pathology, surgery)
- Prospective Studies
- Single-Blind Method
|
