Hysteroscopic resection of endometrial polyps: a study of 195 cases

Objective: To ascertain the therapeutic efficiency of hysteroscopic resecti on for the treatment of endometrial polyps in women with abnormal uterine b leeding and postmenopausal metrorrhagia. Setting: University hospital. Desi gn: Retrospective consecutive patient follow-up. Material and methods: From 1987 to 1997, 195 patients with haemorrhagic endometrial polyps were treat ed with hysteroscopic resection in our department. Results: Five complicati ons occurred, bur no major complications were noted. A total of 89.2% of th e patients remained in contact after hospitalization. After long term follo w-up (5.2 years), successful results were obtained in 80% of the patients w ith polyp resection without associated endometrial ablation. Further surger y (hysterectomy) was required in only five women. Conclusion: Transcervical resection is the gold standard for treatment of endometrial polyps. (C) 20 00 Elsevier Science Ireland Ltd. All rights reserved.