Preliminary experience with the VersaPoint bipolar resectoscope using a vaporizing electrode in a saline distending medium.
OBJECTIVE
To evaluate a new bipolar resectoscope that uses physiologic saline as a distending medium.


METHODS
Clinic-based, prospective, non-randomized study (Canadian Task Force classification II-2).


METHODS
A free-standing ambulatory surgical facility. Patients. Eleven women with menorrhagia or menometrorrhagia and four with menorrhagia and infertility.


METHODS
Hysteroscopic removal of submucosal myomas with concomitant endometrial ablation in seven patients.


RESULTS
Complete removal of the submucosal myoma was achieved in all 15 patients. Eight patients had a European Society of Gynecologic Endoscopy type II myoma, five had a type I, and two had a type zero. Five patients had multiple myomas. There were no complications.


CONCLUSIONS
The bipolar resectoscope is effective in the removal of submucosal myomas and in this series allowed completion of several cases that probably could not have been done with a traditional monopolar resectoscope.
Loffer
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Department of Obstetrics and Gynecology, University of Arizona at Tucson, 3410 N. 4th Avenue, Phoenix, AZ 85013, USA.
D000328:Adult; D000556:Ambulatory Surgical Procedures; D004566:Electrodes; D004869:Equipment Safety; D005260:Female; D006801:Humans; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods*; D007889:Leiomyoma / Q000150:complications / Q000601:surgery*; D008595:Menorrhagia / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012965:Sodium Chloride; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*
D012965:Sodium Chloride