title: Which endometrial polyps should be resected?
abstract: 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)
authors.affiliation: Department of Obstetrics and Gynecology, Getafe University Hospital, Madrid, Spain.
authors.forename: T
authors.initials: T
authors.lastname: Perez-Medina
authors.forename: O
authors.initials: O
authors.lastname: Martinez
authors.forename: G
authors.initials: G
authors.lastname: Folgueira
authors.forename: J
authors.initials: J
authors.lastname: Bajo
mesh_terms: 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