POLYPECTOMY BY HYSTEROSCOPY
Approximately 28% of women with abnormal uterine bleeding have endometrial polyps. It is estimated that around a quarter of women will experience pre- or postmenopausal abnormal uterine bleeding at some point in their lives.
The size and number of polyps are considered risk factors, such that over 15 mm and a number equal to or greater than three would increase the risk of polyp cancer. The histological types of carcinoma that most frequently settle in polyps are endometrioid and papillary serous carcinoma.
It is advisable, whenever possible, that diagnostic and surgical hysteroscopies for the removal of polyps or correction of malformations be performed without cervical dilation.
​
The use of anesthesia and the dilation of the cervix (in interventions in the operating room) are factors that can increase complications and risks.
​
If the hysteroscopist is an expert, in most cases hysteroscopies can be performed without having to use anesthesia or perform cervical dilation.
​
The greater the experience of the endoscopist and the better the technology available, the greater safety, efficiency in solving problems, and greater tolerability of hysteroscopy by the patient.