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J Minim Invasive Gynecol. 2010 May-Jun;17(3):351-7. doi: 10.1016/j.jmig.2010.01.019.

Clinical effectiveness of transcervical polyp resection in women with endometrial polyps: randomized controlled trial.

Author information

1
Department of Gynecology and Obstetrics, Oslo University Hospital UllevÄl, Oslo, Norway. m.lieng@online.no

Abstract

STUDY OBJECTIVE:

To estimate the clinical effectiveness of transcervical resection of endometrial polyps.

DESIGN:

Randomized controlled trial (Canadian Task Force classification I).

SETTING:

University teaching hospital.

PATIENTS:

One hundred fifty premenopausal women with endometrial polyps.

INTERVENTIONS:

Either transcervical resection of the polyp or observation for 6 months.

MEASUREMENTS AND MAIN RESULTS:

There was no difference in periodic blood loss measured using the Pictorial Blood Assessment Chart between the study groups at 6-month follow-up. A significant difference between the groups was observed in favor of the intervention group for 2 secondary outcome measures: mean difference of periodic blood loss measured using a visual analog scale (score, 0.7; 95% confidence interval, 0.11-1.30; p = .02) and occurrence of gynecologic symptoms at follow-up (7 of 75 patients [9.3%] vs 28 of 75 [37.3%]; p <.001). Data were analyzed according to the principle of intention to treat.

CONCLUSION:

Transcervical resection of endometrial polyps seems to have minimal effect on periodic blood loss; however, the procedure seems to relieve symptoms such as intermenstrual bleeding in most premenopausal women.

PMID:
20417427
DOI:
10.1016/j.jmig.2010.01.019
[Indexed for MEDLINE]

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