title: Hysteroscopy and removal of endometrial polyps: a Dutch survey.
abstract: OBJECTIVE
  To evaluate current practice of Dutch gynecologists in polyp removal.
  
  
  METHODS
  All practicing gynecologists in The Netherlands in 2003 were surveyed by a mailed self-administered questionnaire about polypectomy. Gynecologists were asked about their individual performance of polypectomy: setting, form of anesthesia, method and instrument used.
  
  
  RESULTS
  The response rate was 74% (553 of 752 gynecologists). Among the respondents, 455 (83%) stated that they removed polyps themselves. Polyps were most commonly removed in an inpatient setting (71%), under general or regional anesthesia (77%), and under direct hysteroscopic visualization (69%). Gynecologists working in a teaching hospital removed polyps more often in an outpatient setting compared to gynecologists working in a non-teaching hospital (93 (39%) versus 36 (19%) p<0.001).
  
  
  CONCLUSIONS
  In the Netherlands, outpatient polyp removal is not practiced on a large scale. However, teaching hospitals are more often performing polypectomy in an outpatient setting. Therefore, we expect that there must be a tendency towards outpatient hysteroscopic removal of polyps for the future. Further research is required to assess the efficacy polyp removal.
authors.affiliation: Department of Obstetrics and Gynecology, UMC, Utrecht, The Netherlands.
authors.forename: Anne
authors.initials: A
authors.lastname: Timmermans
authors.forename: Heleen
authors.initials: H
authors.lastname: van Dongen
authors.forename: Ben Willem
authors.initials: BW
authors.lastname: Mol
authors.forename: Sebastiaan
authors.initials: S
authors.lastname: Veersema
authors.forename: Frank Willem
authors.initials: FW
authors.lastname: Jansen
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000639:trends; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D015907:Hysteroscopy / Q000639:trends; D009426:Netherlands / Q000453:epidemiology; D011127:Polyps / Q000601:surgery*; D011795:Surveys and Questionnaires