The Success Rate of Manual Vacuum Aspiration in Surgical Treatment of Endometrial Polyps

Puangkularb P, MD¹, Satirapod C, MD¹, Choktanasiri W, MD¹, Tantitham C, MD¹

Affiliation : ¹ Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Objective: To determine the success rate of manual vacuum aspiration (MVA) in surgical treatment of endometrial polyps.
Materials and Methods: Patients with a diagnosis of one or two endometrial polyps without any other gross pathology under hysteroscopic view were recruited in the present study. After the first hysteroscopy, the endometrial polyps were removed using standard MVA procedure. A second hysteroscopy was performed to re-assess the result and remove any remaining polyps in the same setting. The diagnosis of the resected polyps was confirmed using histopathological examination.
Results: Thirty-five women were recruited in the present study. The most common presentation of the polyps was abnormal uterine bleeding (54.3%). The complete removal of endometrial polyps after MVA was observed in 30 cases (85.7%), whereas incomplete removal was observed in five cases (14.3%). The remaining polyps were mainly located at the fundus and cornu part of the uterus.
Conclusion: MVA could be an alternative treatment of endometrial polyps because of possible complete removal of polyps and low complications.

Keywords : Endometrial polyps, Hysteroscopy, Manual vacuum aspiration

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