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Assessment of Long- and Short-Term Outcomes of Hysteroscopic Polypectomy in Patients With Uterine Polyps Publisher



Hashemi M1 ; Madani ES1 ; Ghahiri A2 ; Tarrahi MJ3 ; Rouholamin S4
Authors
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Authors Affiliations
  1. 1. Department of Minimally Invasive Gynecologic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Obstetrics and Gynecology, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Epidemiology and Statistics, Behavioral Sciences Research Center, Isfahan University of Medical Science, Isfahan, Iran
  4. 4. Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Advanced Biomedical Research Published:2024


Abstract

Background: Polyps are a common diagnosis in women of different ages. They can cause a variety of symptoms from bleeding to infertility and can even be the progenitor for malignancies. Materials and Methods: This was a retrospective cohort study conducted in Isfahan. A total of 1004 patients were included in this study. After hysteroscopic polypectomy, patients had their information regarding the complications and recurrence recorded. Results: Symptoms improved in 639 (63.8%). Recurrence of polyps was seen in 143 (14.2%) patients. A total of 170 had a successful pregnancy, with 110 of them spontaneous. Using scissors had lower recurrence compared to graspers. Eight cases had complications during the treatment, two of which were major. Conclusion: Hysteroscopic polypectomy is the treatment of choice for uterine polyps. We show hysteroscopic polypectomy to have a high success rate and a low complications rate, with polypectomies done using scissors to have lower risk of complications or recurrence compared to graspers. © 2024 Advanced Biomedical Research.