Citation: Gynecological Surgery. 2015, 12(1) SUPPL. 1(S395-S396), 1613-2076
Author: Gillian S.; Alam M.
Abstract: Background Endometrial polyps are a common hysteroscopic finding when investigating
women with abnormal uterine bleeding. They have been found in up to 40% of
symptomatic pre- menopausal women and are associated with menorrhagia, metrorrhagia,
intermenstrual bleeding and subfertility. They are also associated with post- menopausal
bleeding and found in women with malignant tissue changes.(1) In symptomatic women
who undergo polypectomy, it is reported that there is 75%-100% improvement. For
women who are asymptomatic , a polypectomy is recommended for those with risk
factors for endometrial cancer.(2) The introduction of hysteroscopic polyp morcellation
has allowed for a fast, safe and convenient procedure to remove polyps within an
outpatient setting. The use of small scopes, minimal dilatation and little or no local
anaesthetic has impoved the experience for patients and medical staff.(1) At Arrowe Park
Hospital we have introduced polyp morcellation using Hologic Myosure tissue removal
system and Aquilex fluid control system Methods Aim To review the implementation and
outcomes of a Myosure hysteroscopic polypectomy clinic within our outpatient
department performed by consultant and nurse practitioner Method A retrospective data
collection of patients who attended the clinic between September 2014 and May 2015
Results 28 patients were referred to the clinic. 4 patients had not undergone previous
hysteroscopy and were found not to have a polyp, 1 patient refused treatment and was
listed for general anaesthetic. 22 patients had successful polypectomy and 1 patient had
partial polypectomy due to loss of vision. All patients tolerated procedure well and left
clinic within 10 minutes of finishing. There were no complications during or following
polypectomy. 1 histology was reported as atypical hyperplasia, 21 were benign polyps,1
was benign fibroid Conclusions Myosure polypectomy is proving to be a fast, efficient,
safe and well tolerated procedure that is easily performed within an outpatient setting
allowing fast recovery and minimal disruption for patients.
