Abstract
BackgroundTo investigate the clinical efficacy of the MyoSure hysteroscopic tissue removal system in the treatment of endometrial and cervical polyps in women with an intact hymen.MethodsRetrospective analysis was performed on the clinical data of 32 patients treated with the MyoSure hysteroscopic tissue removal system for endometrial and cervical polyps.ResultsAll the patients successfully completed the procedure. No intraoperative complications, such as cervical trauma, uterine perforation or TURP syndrome, were reported. The surgical time ranged from 5 to 35 min, with an average time of 19.3 min, and the intraoperative blood loss ranged from 2 to 50 ml with an average blood loss of 10.8 ml. After surgery, all patients were shown to have intact hymens. No residual polyp tissues were observed under the microscope, and abnormal uterine bleeding was relieved.ConclusionsThe MyoSure hysteroscopic tissue removal system can be a safe and effective treatment for endometrial and cervical polyps in women with an intact hymen.
Highlights
Endometrial polyps are benign intrauterine lesions caused by local overgrowth of the endometrium which account for 21–39% of abnormal uterine bleeding
We evaluated the results of patients with an intact hymen who underwent MyoSure for the resection of intrauterine and cervical polyps under the condition of ensuring the integrity of the hymen, and found its unique advantages
The inclusion criteria consisted of patients who (1) manifested with abnormal uterine bleeding, treated with normal hormone therapy for 3–6 months but was ineffective or effective during the drug treatment but after which the symptoms reappeared in a short period of time; (2) had no history of sexual behavior and were confirmed by gynecological examination to have an intact hymen; (3) had intrauterine lesions or intracervical lesions identified by preoperative ultrasound; (4) had no accompanying blood system diseases, liver or kidney dysfunction; and (5) had no contraindications for hysteroscopic surgery
Summary
Endometrial polyps are benign intrauterine lesions caused by local overgrowth of the endometrium which account for 21–39% of abnormal uterine bleeding. Hysteroscopic resection combined with pathological examination seems to be the gold standard for the diagnosis of endometrial polyps. For women with an intact hymen, the use of the instrument may damage the hymen, of which the integrity is an important representation of virginity in our country. For these reasons, patients may refuse to take the surgery, which may result in a delayed diagnosis or even improper management. To investigate the clinical efficacy of the MyoSure hysteroscopic tissue removal system in the treatment of endometrial and cervical polyps in women with an intact hymen
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