title: Outpatient hysteroscopic polypectomy: bipolar energy system (Versapoint®) versus diode laser - randomized clinical trial.
abstract: OBJECTIVE
  To compare the resection of endometrial polyps with two different devices: the Versapoint biopolar electrode and the Diode Laser.
  
  
  METHODS
  One hundred and two patients diagnosed with endometrial polyps were randomly assigned to undergo hysteroscopic polypectomy: one group (n = 52) performed with Versapoint bipolar electrode through a 5Fr working channel and the other group with Biolitec Diode Laser (n = 50) using a specific fiber for polyps in a 7Fr working channel. All cases were managed on an outpatient basis, without anesthesia and using a rigid 30(o) hysteroscope and saline solution as a distention medium.
  
  
  METHODS
  Complete resection rate, operative time, complications, intraoperative pain and relapse rate after three months.
  
  
  RESULTS
  Intraoperative pain and polyp resection time was similar in both groups. Upon second look hysteroscopy at 3-month, a higher percentage of women of the Versapoint group presented polyp relapse (32.6 versus 2.2%, p = 0.001). Elimination of the polyp after incomplete resection was higher in the Laser group. A significantly higher number of patients in the Laser group considered the procedure to be highly recommendable (p = 0.02).
  
  
  CONCLUSIONS
  Polypectomy with Diode Laser resulted in fewer relapses and a higher procedure satisfaction rate as compared to Versapoint.
authors.affiliation: a Department of Gynecology , Hospital Reina Sofía , Córdoba , Spain .
authors.forename: Maria D
authors.initials: MD
authors.lastname: Lara-Domínguez
authors.affiliation: a Department of Gynecology , Hospital Reina Sofía , Córdoba , Spain .
authors.forename: Jose E
authors.initials: JE
authors.lastname: Arjona-Berral
authors.affiliation: b Department of Statistics and Operational Research , University of Córdoba , Córdoba , Spain , and.
authors.forename: Rafaela
authors.initials: R
authors.lastname: Dios-Palomares
authors.affiliation: c Faculty of Medicine-University of Barcelona , Institut Clínic of Gynecology, Obstetrics and Neonatology, Hospital Clínic-Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) , Barcelona , Spain.
authors.forename: Camil
authors.initials: C
authors.lastname: Castelo-Branco
mesh_terms: D000328:Adult; D000368:Aged; D004598:Electrosurgery / Q000295:instrumentation*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000295:instrumentation*; D054023:Lasers, Semiconductor / Q000627:therapeutic use*; D008875:Middle Aged; D011127:Polyps / Q000601:surgery*; D014591:Uterine Diseases / Q000601:surgery*
keywords: Diode Laser; Versapoint; endometrial polyp; hysteroscopy; polypectomy