OBJECTIVE: To assess endometrial polyp location and abnormal endometrial findings and their impact on pregnancy rate. DESIGN: Retrospective study. SETTING: Reproductive clinic in Kanagawa, Japan. PATIENT(S): A retrospective study was conducted on 230 infertility patients who had an endometrial polyp, as suspected on the basis of ultrasound and as diagnosed by hysteroscopy. INTERVENTION(S): Polyps were excised by either polypectomy or curettage. All samples were examined for pathology. The endometrial cavity was subdivided into five area categories: uterotubal junction, anterior uterine wall, posterior uterine wall, lateral uterine wall, and multiple. The patients received < or =6 months of follow-up; pregnancy rates were compared between the five subdivisions. MAIN OUTCOME MEASURE(S): Pregnancy rates. RESULT(S): The incidence of endometrial polyps was as follows, by location: uterotubal junction, 8.0%; posterior uterine wall, 32.0%; anterior uterine wall, 15.4%; lateral uterine wall, 9.2%; and multiple, 35.4%. The pregnancy rate after surgery was as follows, by location: uterotubal junction, 57.4%; posterior uterine wall, 28.5%; anterior uterine wall, 14.8%; lateral uterine wall, 18.8%; and multiple, 40.3%. Endometrial hyperplasia was found in 6.9% of the cases. The pregnancy rate after surgery at the uterotubal junction was significantly higher than that of other locations. CONCLUSION(S): Endometrial polyps are commonly found on the posterior wall of the uterus; however, excision of polyps that were located at the uterotubal junction significantly improved the pregnancy rate. Endometrial polyps should be categorized by both size and location.
OBJECTIVE: To assess endometrial polyp location and abnormal endometrial findings and their impact on pregnancy rate. DESIGN: Retrospective study. SETTING: Reproductive clinic in Kanagawa, Japan. PATIENT(S): A retrospective study was conducted on 230 infertilitypatients who had an endometrial polyp, as suspected on the basis of ultrasound and as diagnosed by hysteroscopy. INTERVENTION(S): Polyps were excised by either polypectomy or curettage. All samples were examined for pathology. The endometrial cavity was subdivided into five area categories: uterotubal junction, anterior uterine wall, posterior uterine wall, lateral uterine wall, and multiple. The patients received < or =6 months of follow-up; pregnancy rates were compared between the five subdivisions. MAIN OUTCOME MEASURE(S): Pregnancy rates. RESULT(S): The incidence of endometrial polyps was as follows, by location: uterotubal junction, 8.0%; posterior uterine wall, 32.0%; anterior uterine wall, 15.4%; lateral uterine wall, 9.2%; and multiple, 35.4%. The pregnancy rate after surgery was as follows, by location: uterotubal junction, 57.4%; posterior uterine wall, 28.5%; anterior uterine wall, 14.8%; lateral uterine wall, 18.8%; and multiple, 40.3%. Endometrial hyperplasia was found in 6.9% of the cases. The pregnancy rate after surgery at the uterotubal junction was significantly higher than that of other locations. CONCLUSION(S): Endometrial polyps are commonly found on the posterior wall of the uterus; however, excision of polyps that were located at the uterotubal junction significantly improved the pregnancy rate. Endometrial polyps should be categorized by both size and location.
Authors: Melissa W Bennett; Edward J Dick; Natalia E Schlabritz-Loutsevitch; Juan C Lopez-Alvarenga; Priscilla C Williams; R Mark Sharp; Gene B Hubbard Journal: J Med Primatol Date: 2009-03-05 Impact factor: 0.667
Authors: Jan Bosteels; Steffi van Wessel; Steven Weyers; Frank J Broekmans; Thomas M D'Hooghe; M Y Bongers; Ben Willem J Mol Journal: Cochrane Database Syst Rev Date: 2018-12-05
Authors: Paweł Radwan; Michał Radwan; Marek Kozarzewski; Ireneusz Polac; Jacek Wilczyński Journal: Wideochir Inne Tech Maloinwazyjne Date: 2014-05-26 Impact factor: 1.195