Hysteroscopical Polypectomy in Comparison with

Overview

Objective:
The evaluation of hysteroscopy contribution in the treatment of endometrial polyp. Theevaluation of the risk of endometrial polyp recurrence.Design: Prospective clinical study.Setting: Department of Obstetrics and Gynecology of Medical faculty and Faculty Hospital, Pilsen.Methods: Two groups of patients were followed. Group I had 81 patients (30 premenopausal and 51postmenopausal) that underwent hysteroscopical polypectomy followed by diagnostic hysterosco-py in 6 - 12 months. Group II consisted of 100 patients (36 premenopausal and 64 postmenopausal)that underwent fractional curretage with histological diagnosis of endometrial polyp. These pati-ents were checked by diagnostic hysteroscopy in up to 12 months. Presence of endometrial polypduring diagnostic hysteroscopy and a relation of its recurrence or persistence to a type of prece-ding procedure, risk factors and histological findings during the first procedure were evaluated.Results: 11 (13.5%) cases of an endometrial polyp were recorded in hysteroscopical controls ingroup I. 46 (46%) cases of an endometrial polyp were recorded in group II. Recurrence of theendometrial polyp was revealed only in one case of atrophic endometrium and in no case ofatrophic endometrial polyp.Conclusion: Hysteroscopical polypectomy showed considerably better results in the treatment ofendometrial polyp comparing to fractional curretage. The recurrence risk of endometrial polyp isexpected in a case of presence of an abnormal proliferative activity or hyperplasia both in theendometrial polyp and the surrounding endometrium.

Key words:
endometrial polyp, fractional curretage, hysteroscopical polypectomy