Comparison of Excision Results of Endometrial Polyps

OBJECTIVE: Endometrial polyp excision can be done with hysteroscopic polypectomy or dilation and curettage (D&C). In this study, we aimed to compare the groups who underwent excision of polyps with D&C or hysteroscopic polypectomy for 6-month recurrence and whether complaints continued after the procedure. METHODS: A total of 130 patients with endometrial polyps previously diagnosed on transvaginal ultrasound evaluation, saline infusion ultrasound imaging, or hysteroscopy who had abnormal uterine bleeding (menorrhagia, menometrorrhagia, metrorrhagia) were evaluated retrospectively between January 2011 and April 2014. Clinical data for the patients were reviewed. Patients were divided into two groups: D&C (group 1) and hysteroscopic polypectomy (group 2). The groups were compared on recurrence frequency and whether complaints continued 6 months after the operation. RESULTS: The study enrolled 130 patients. Of these, 62 underwent D&C (group 1) and 68 underwent hysteroscopy (group 2). Mean age in group 1 was 34.5±4.1 years (minimum–maximum: 30–44); mean age in group 2 was 35.6±3.7 years (minimum–maximum: 30–44). There was a statistically significant difference between group 1 and group 2 in terms of the frequency of recurrence of polyps 4–6 months after postsurgery (27.4% and 1.5%, respectively, P<.05). Patients who were diagnosed with endometrial polyps at follow-up examination after 6 months reported menorrhagia (58.8%), menometrorrhagia (29.4%), and metrorrhagia (11.7%). CONCLUSION: Hysteroscopic polypectomy seems to be superior in terms of endometrial polyp recurrence. For patients with unresolved abnormal uterine bleeding or recurrence of polyps after polyp resection, incomplete surgery should be considered.