[Long-term results of hysteroscopic resection of endometrial polyps in 367 patients. Role of associated endometrial resection].
OBJECTIVE
To assess the results of hysteroscopic resection of endometrial polyps and the eventual role of associated endometrial resection.


METHODS
Retrospective study. Between 1998 and 2001, 367 patients had hysteroscopic resection of endometrial polyps, which were initially confirmed by diagnostic hysteroscopy. Fifty-four percent of these had associated endometrial resection.


RESULTS
Five intraoperative complications and/or incidents were noted, but there was no major complication. 83% of patients were followed up and the median follow-up period was 40 months (range 17-66 months). The success rate in this study was 96.4%. This is higher in the group of patients that had associated endometrial resection: 98.3 vs 93.7%.


CONCLUSIONS
Hysteroscopic resection is the optimal method for treatment of benign endometrial polyps. Associated endometrial resection in older patients or in patients not desiring to conserve their fertility potential improves the success rate and decreases the rate of recurrences.
Polena
V
V
Service de gynécologie-obstétrique, hôpital Tenon, Paris, France.
Mergui
J-L
JL
Zérat
L
L
Daraï
E
E
Barranger
E
E
Uzan
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015907:Hysteroscopy; D007431:Intraoperative Complications; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome