Office hysteroscopy in women with postmenopausal bleeding: see and treat of endometrial polyps using a Duckbill Polyp Snare

Abstract

In women with postmenopausal bleeding, intracavitary pathology is often diagnosed. Hysteroscopy can be used as a diagnostic tool for intracavitary abnormalities. Nowadays, office hysteroscopy can be used as a therapeutic tool as well. We describe the use of office hysteroscopy in the diagnosis and treatment in women with postmenopausal bleeding. In 83 patients with postmenopausal bleeding in whom an endometrium thickness of more than 4 mm was found, hysteroscopy was performed. Hysteroscopy was performed in an office setting, using a vaginoscopic approach. If a polyp was visualised, this polyp was removed in the same session (see and treat) using the Duckbill Polyp Snare. In 10.8% of the patients, endometrial carcinoma was diagnosed. In 41% of the patients, the polyp was diagnosed and treated. Office hysteroscopy in women with postmenopausal bleeding and an endometrium thickness of more than 4 mm offers the possibility of diagnosis as well as treatment in the same session by using a polyp snare.