Hysteroscopic treatment of intrauterine lesions in premenopausal and postmenopausal women.
OBJECTIVE
To compare the safety and efficacy of hysteroscopic surgery in the management of intrauterine lesions in premenopausal and postmenopausal women and, in particular, to investigate whether glycine absorption is different between these populations.


METHODS
Comparative study (Canadian Task Force classification II-2).


METHODS
Tertiary care university hospital.


METHODS
Thirty postmenopausal and 78 premenopausal women with intrauterine polyps or myomas.


METHODS
Hysteroscopic myomectomy or polypectomy.


RESULTS
One hundred eight procedures were completed successfully by hysteroscopy; in two cases myomectomy was completed in a second operation for a deeply embedded myoma. No major complications occurred in either group. Median operating time, mean glycine absorption, and median postoperative hospital stay were not significantly different between groups. During mean follow-up of 15 months (range 1-39 mo), four women underwent hysterectomy (1 for endometrial cancer, 1 for complex hyperplasia with atypia, 2 for pelvic pain and menorrhagia).


CONCLUSIONS
Hysteroscopic surgery is an effective and safe therapeutic option for intrauterine lesions regardless of a woman's menopausal status.
Shushan
Asher
A
Department of Obstetrics and Gynecology, Hadassah University Hospital, P.O. Box 12000, Jerusalem, Israel.
Revel
Ariel
A
Laufer
Neri
N
Rojansky
Nathan
N
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007044:Hysterectomy; D015907:Hysteroscopy; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D011127:Polyps / Q000601:surgery*; D017698:Postmenopause; D017697:Premenopause; D014594:Uterine Neoplasms / Q000601:surgery*