Hysteroscopic resection of endometrial polyps
The polyps [link] of the endometrium or endothelial cavity are removed hysteroscopically by a special instrument – a resectoscope under continuous visual monitoring. The procedure is almost non invasive, no incisions are made and it is similar to diagnostic hysteroscopy. The condition is immediately treated and the patient is discharged after 1-2 hours.
In the past, polyps were resected by surgical abrasion of the endometrium. Over the past 10 years, based on the guidelines from both the UK and the US, all endometrial and endocervical polyps should be removed hysteroscopically because if they are removed by scraping, it is likely that their stem will remain and recur as it is also possible that other concurrent pathological conditions are not diagnosed. The resection of polyps in infertile women has to be performed hysteroscopically only, otherwise there is a risk of adhesions (scar tissue) formation which will worsen their infertility.
Hysteroscopic resection of polyps increases fertility, reduces pregnancy abortions and reduces blood flow to women with severe periods (menorrhagia).