Janu Mangala Kanthi1, Chithra Remadevi1, Sudha Sumathy2, Deepti Sharma3, Sarala Sreedhar4, Amrutha Jose5. 1. Clinical Associate Professor, Department of Obstetrics and Gynaecology, Amrita School of Medicine, Amrita Viswavidhyapeetham , Kerala, India . 2. Clinical Professor, Department of Obstetrics and Gynaecology, Amrita School of medicine, Amrita Viswavidhyapeetham , Kerala, India . 3. Clinical Additional Professor, Department of Obstetrics and Gynaecology, Amrita School of Medicine, Amrita Viswavidhyapeetham , Kerala, India . 4. Clinical Professor, Department of Obstetrics and Gynaecology, Amrita School of Medicine, Amrita Viswavidhyapeetham , Kerala, India . 5. Former Assistant Professor, Department of Biostatistics, Amrita School of Medicine, Amrita Viswavidhyapeetham , Kerala, India .
Abstract
INTRODUCTION: Endometrial polyp is one of the common causes of Abnormal Uterine Bleeding (AUB) in the reproductive age group as well as postmenopausal age group. AIM: To study the clinical features of endometrial polyp and the safety and feasibility of blind polypectomy following diagnostic hysteroscopy. MATERIALS AND METHODS: Total of 256 women who were diagnosed to have endometrial polyp by transvaginal ultrasound and underwent diagnostic hysteroscopy and blind polypectomy by simple avulsion in the period of January 2008 to December 2014 were included in our study. Polyp was confirmed by the histopathology. RESULTS: The prevalence of polyp among women who underwent diagnostic hysteroscopy and blind polypectomy was more common in the age group of 40-49years. Polyps manifested as AUB in 45.6% of our study population. The mean size of the polyp was not significantly different between premenopausal and postmenopausal women and single and multiple polyps. Histopathological study of the polyp showed two malignant polyps in our study population. Premalignant lesions i.e., endometrial hyperplasia without atypia and with atypia was found in 33 women. There was one uterine perforation, one cervical tear; one false passage and one patient had mild bleeding after the procedure. In our study, in the mean follow-up period of 37.57±28.12 months, 3.9% (7 women) had recurrence. In the follow-up period of 16.56±18.96 months, 78.9% women didn't have recurrence. CONCLUSION: Diagnostic hysteroscopy and blind polypectomy has low complication rate and recurrence rate and technically feasible for the practicing gynaecologists which don't need much training and is cost-effective also.
INTRODUCTION:Endometrial polyp is one of the common causes of Abnormal Uterine Bleeding (AUB) in the reproductive age group as well as postmenopausal age group. AIM: To study the clinical features of endometrial polyp and the safety and feasibility of blind polypectomy following diagnostic hysteroscopy. MATERIALS AND METHODS: Total of 256 women who were diagnosed to have endometrial polyp by transvaginal ultrasound and underwent diagnostic hysteroscopy and blind polypectomy by simple avulsion in the period of January 2008 to December 2014 were included in our study. Polyp was confirmed by the histopathology. RESULTS: The prevalence of polyp among women who underwent diagnostic hysteroscopy and blind polypectomy was more common in the age group of 40-49years. Polyps manifested as AUB in 45.6% of our study population. The mean size of the polyp was not significantly different between premenopausal and postmenopausal women and single and multiple polyps. Histopathological study of the polyp showed two malignant polyps in our study population. Premalignant lesions i.e., endometrial hyperplasia without atypia and with atypia was found in 33 women. There was one uterine perforation, one cervical tear; one false passage and one patient had mild bleeding after the procedure. In our study, in the mean follow-up period of 37.57±28.12 months, 3.9% (7 women) had recurrence. In the follow-up period of 16.56±18.96 months, 78.9% women didn't have recurrence. CONCLUSION: Diagnostic hysteroscopy and blind polypectomy has low complication rate and recurrence rate and technically feasible for the practicing gynaecologists which don't need much training and is cost-effective also.
Entities:
Keywords:
Abnormal uterine bleeding; Hysteroscopic polypectomy; Polyp with premalignant change; Recurrence of endometrial polyp
Authors: D Timmerman; J Verguts; M L Konstantinovic; P Moerman; D Van Schoubroeck; J Deprest; S van Huffel Journal: Ultrasound Obstet Gynecol Date: 2003-08 Impact factor: 7.299
Authors: Aldo Javier Vázquez Mézquita; Alan Jossimar Zavala Vargas; Jorge Luis Vela Cantorán; Yeni Fernández de Lara Barrera Journal: Cureus Date: 2019-08-13