Which endometrial polyps should be resected?
OBJECTIVE
To evaluate the efficacy of color Doppler exploration after diagnostic hysteroscopy in choosing which endometrial polyps can be safely left in situ.


METHODS
Prospective, long-term follow-up study (Canadian Task Force classification II-1).


METHODS
University hospital.


METHODS
Two hundred twenty women with hysteroscopically confirmed endometrial polyps.


METHODS
Transvaginal ultrasonographic surveillance with color Doppler mapping and hysteroscopic resection.


RESULTS
We removed 126 (57.2%) polyps because of positive color Doppler map, and 29 (13.1%) with a negative color Doppler map because 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 were removed because of hemorrhagic episodes. At 3 years, 59 patients with endometrial polyps remained asymptomatic by clinical and ultrasonographic follow-up.


CONCLUSIONS
In this series, 59 patients (26.8%) avoided surgical removal of polyps. (J Am Assoc Gynecol Laparosc 6(1):71-74, 1999)
Perez-Medina
T
T
Department of Obstetrics and Gynecology, Getafe University Hospital, Madrid, Spain.
Martinez
O
O
Folgueira
G
G
Bajo
J
J
D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D011127:Polyps / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D018615:Ultrasonography, Doppler, Color