Office-Based Endometrial Polypectomy Can Be Successful

For relieving abnormal uterine bleeding, office polypectomy was noninferior to polypectomy in an operating room, but decisions about treatment setting should be individualized.

Endometrial polyps occur in up to 40% of women with abnormal uterine bleeding and are commonly taken out hysteroscopically. Removing these polyps in an office setting can lower costs and increase convenience because patients can be treated at diagnosis. Investigators in the U.K. conducted a randomized noninferiority trial in >500 women with abnormal uterine bleeding to assess the efficacy and acceptability of office-based versus operating room (OR) polypectomy.

In all, 73% of evaluable women in the office group and 80% in the OR group reported substantial reduction or elimination of bleeding 6 months after surgery, and these effects continued at 12 and 24 months. The efficacy of office polypectomy was at most 18% worse than OR polypectomy (r…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Office-Based Endometrial Polypectomy Can Be Successful

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Reviewing Author