Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study
- PMID: 17239873
- DOI: 10.1016/j.fertnstert.2006.08.113
Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study
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.
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