Which endometrial polyps should be resected?

Study Objective, To evaluate the efficacy of color Doppler exploration afte r diagnostic hysteroscopy in choosing which endometrial polyps can be safel y left in situ. Design. Prospective, long-term follow-up study (Canadian Task Force classif ication II-7). Setting. University hospital. Patients, Two hundred twenty women with hysteroscopically confirmed endomet rial polyps. interventions. Transvaginal ultrasonographic surveillance with color Dopple r mapping and hysteroscopic resection. Measurements and Main Results, We removed 126 (57.2%) polyps because of pos itive color Doppler map, and 29 (13.1%) with a negative color Doppler map b ecause 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 wer e removed because of hemorrhagic episodes. At 3 years, 59 patients with end ometria I polyps remained asymptomatic by clinical and ultrasonographic fol low-up. Conclusion. in this series, 59 patients (26.8%) avoided surgical removal of polyps.