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Federación Mexicana de Ginecología y Obstetricia, A.C.

2015, Number 07

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Ginecol Obstet Mex 2015; 83 (07)

Hysteroscopic polypectomy, treatment of abnormal uterine bleeding

de los Ríos PJF, López RC, Cifuentes PC, Angulo CM, Palacios-Barahona AU

Language: Spanish
References: 19
Page: 422-428
PDF size: 336.92 Kb.


ABSTRACT

Objectives: To evaluate the effectiveness of the hysteroscopic polypectomy in terms of the decrease of the abnormal uterine bleeding.
Methods: A cross-sectional and analytical study was done with patients to whom a hysteroscopic polypectomy was done for treating the abnormal uterine bleeding, between January 2009 and December 2013. The response to the treatment was evaluated via a survey given to the patients about the behavior of the abnormal uterine bleeding after the procedure and about overall satisfaction
Results: The results were obtained after a hysteroscopic polypectomy done to 128 patients and were as follows. The average time from the polypectomy applied until the survey was 30.5 months, with a standard deviation of 18 months. 67.2% of the patients reported decreased abnormal uterine bleeding and the 32.8% reported a persistence of symptoms. On average 82.8% of the patients were satisfied with the treatment. Bivariate and multivariate analysis showed no association between the variables studied and no improvement of abnormal uterine bleeding after surgery (polypectomy). There were no complications.
Conclusion: Hysteroscopic polypectomy is a safe surgical treatment, which decreases on two of three patients the abnormal uterine bleeding in the presence of endometrial polyps, with an acceptable level of satisfaction


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