Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study.
OBJECTIVE
To evaluate operative resectoscopy versus hysteroscopic bipolar electrode excision for the treatment of endometrial polyps.


METHODS
Prospective, randomized study.


METHODS
Tertiary-care university hospital.


METHODS
One hundred consecutive patients with endometrial polyps.


METHODS
Patients underwent diagnostic hysteroscopy, and after assignment on a random basis, they underwent polyp excision either by operative resectoscopy or by a bipolar electrode passed through the operating sheath of a small-caliber hysteroscope. MAIN OUTCOME MEASURE(S) AND RESULT(S): Operating times, difficulty of the operation, surgeon satisfaction with the procedure, intra- and postoperative complications, postoperative pain, and patient satisfaction were recorded. The two procedures did not differ in total surgery times. In subgroup analysis, the resectoscope was faster for large polyps (>2 cm) and for polyps with a fundal implant. The bipolar electric probe was faster for small polyps (<2 cm) and for polyps with a nonfundal implant.


CONCLUSIONS
Operative resectoscopy appears to be the technique of choice for endometrial polyps >2 cm or with a fundal implant. Bipolar electrode excision appears to be preferable for smaller, nonfundal polyps.
Muzii
Ludovico
L
Department of Obstetrics and Gynecology, University Campus Bio-Medico of Rome, Rome, Italy. l.muzii@unicampus.it <l.muzii@unicampus.it>
Bellati
Filippo
F
Pernice
Milena
M
Manci
Natalina
N
Angioli
Roberto
R
Panici
Pierluigi Benedetti
PB
D000293:Adolescent; D000328:Adult; D000368:Aged; D004566:Electrodes; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D016037:Single-Blind Method