title: The clinical relevance of hysteroscopic polypectomy in premenopausal women with abnormal uterine bleeding.
abstract: This study assessed the efficacy of hysteroscopic polyp removal in the management of abnormal uterine bleeding (AUB) of premenopausal patients. The monthly menstrual blood loss, measured semi-objectively by the pictorial blood loss assessment chart (PBAC) and patients satisfaction were recorded prospectively preoperatively and postoperatively. Twenty-one patients were included. Median monthly PBAC-score before treatment was 288 (range 142-670) and 6 months after polyp removal 155 (range 39-560). It was concluded that hysteroscopic polyp removal in premenopausal women with AUB reduces the monthly blood loss significantly and has a high satisfaction rate on the short term.
authors.affiliation: Department of Gynaecology, Leiden University Medical Center, Leiden, the Netherlands. h.van_dongen@lumc.nl
authors.forename: H
authors.initials: H
authors.lastname: van Dongen
authors.forename: C A H
authors.initials: CA
authors.lastname: Janssen
authors.forename: M J G H
authors.initials: MJ
authors.lastname: Smeets
authors.forename: M H
authors.initials: MH
authors.lastname: Emanuel
authors.forename: F W
authors.initials: FW
authors.lastname: Jansen
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D009426:Netherlands; D017060:Patient Satisfaction; D011127:Polyps / Q000601:surgery*; D017697:Premenopause; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*