Office hysteroscopic endometrial polypectomy in premenopausal women at Zagazig University Hospitals: Traditional versus vaginoscopic approach

Document Type : Original Article

Authors

1 M.B.B.Ch., Faculty of Medicine, Misurata UniversityŁ€ Libya

2 Professor of Obstetrics and Gynaecology, Faculty of Medicine - Zagazig University, Egypt

3 Assistant Professor of Obstetrics and Gynaecology, Faculty of Medicine - Zagazig University, Egypt

4 Lecturer of Obstetrics and Gynaecology, Faculty of Medicine - Zagazig University, Egypt

Abstract

Background: Endometrial polyps are a main cause of Abnormal Uterine Bleeding (AUB) in premenopausal & postmenopausal women and suggested by screening transvaginal ultrasound. Objectives: The aim of the current study was to determine the effectiveness and acceptability of outpatient hysteroscopic endometrial polypectomy by vaginoscopic approach, and if the technique confers any advantage in term of patient discomfort and reduction in procedure time over the traditional technique. Patients & Methods: This study is prospective randomized clinical trial, it was carried in Endoscopy Unit in the Department of Obstetrics and Gynecology at Zagazig University Hospitals, in period from May 2018 to April 2019. Results: there was a statistical significant difference between traditional and vaginoscopic groups in procedure time where traditional technique needs more time than vaginoscopic one (7.8 VS 6.1 minutes), and all cases had (100.0%) success rate of polypectomy in both groups without complication. but histopathology results discovered one case (2.5%) of all study groups adenocarcinoma and the patient sent to oncology unit for further evaluation and appropriate management. Conclusions: Office vaginoscopic polypectomy for small polyp is feasible and safe minimally invasive procedure.

Keywords

Main Subjects

Zagazig University Medical Journal
Volume 28, Issue 6.2
supplement 2
November 2022
Pages 158-163

Files

Share

How to cite

Statistics