Long-term results and the optimization of treatment policy for endometrial polyps in postmenopause


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Abstract

The paper presents a retrospective analysis of 305 case histories of female patients (mean age 61.25+7.65 years; mean postmenopausal duration 10.99±7.74 years) who have undergone mini-invasive surgical intervention for endometrial polyps (EP). The follow-up lasted 4 to 7 years. Diagnostic hysteroscopy (HS) was re-made in 120 patients. Small pelvic ultrasonography was performed to diagnose intrauterine pathology. HS was carried out with a hysteroscope. In 22 patients, mini-invasive surgical intervention for postmenopausal EP is regarded as ineffective if genital bloody discharges are seen in the presence of postmenopause and/or the availability of ultrasound data suggesting the recurrent endometrial proliferative processes. The cure rate of hysteroscopic resection treatment was 92.31 and 100% after endometrial ablation and local EP hysteroscopic removal. Electric surgical destruction of EP and/or endometrium is the treatment of choice in postmenopausal patients.

About the authors

S E Sarkisov

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies, Moscow

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies, Moscow

O V Khitrykh

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies, Moscow

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies, Moscow

Ye M Kukovenko

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies, Moscow

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Russian Agency for Medical Technologies, Moscow

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