Current practice for the treatment of benign intrauterine polyps: a national questionnaire survey of consultant gynaecologists in UK.
OBJECTIVE
To determine current practice regarding removal of endometrial polyps.


METHODS
A self-administered questionnaire to all 1509 UK consultant gynaecologists to enquire about their current practice and potential willingness to participate in a randomised trial.


RESULTS
Treatment methods varied considerably. Inpatient polypectomy was used by 91% and the favoured method was blind removal of polyp following hysteroscopic localisation (53%). Direct hysteroscopic polypectomy was more commonly performed by 46% members of endoscopic societies compared to 33% of non-members. Outpatient polypectomy was performed by 19% of users of outpatient diagnostic hysteroscopy compared to 2.5% of non-users. One-third of respondents were willing to enter patients into a randomised controlled trial to determine the optimal intrauterine polyp removal technique.


CONCLUSIONS
Opinion regarding the relative roles of inpatient or outpatient, and blind or hysteroscopic methods, is divided and a randomised trial comparing the efficacy and safety of these methods is practicable.
Clark
T Justin
TJ
Academic Department of Obstetrics and Gynaecology, Birmingham Women's Hospital, Birmingham B15 2TG, UK. t.j.clark@bham.ac.uk
Khan
Khalid S
KS
Gupta
Janesh K
JK
D000556:Ambulatory Surgical Procedures; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006176:Gynecology; D006801:Humans; D015907:Hysteroscopy; D011127:Polyps / Q000601:surgery*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data / Q000639:trends*; D016032:Randomized Controlled Trials as Topic; D011795:Surveys and Questionnaires; D006113:United Kingdom