
Annan JJ, Aquilina J, Ball E. The management of endometrial polyps in the 21st century. The Obstetrician & Gynaecologist 2012;14:33–38.
Abstract.
- Key content:
- Hysteroscopic endometrial polyp removal appears to be superior to the current practice of blind avulsion.
- Outpatient treatment is safe, cost effective and well tolerated, even in older or nulliparous women.
- New technologies facilitate office hysteroscopy.
- Benign endometrial polyps can regress and rarely progress to malignancy.
- Learning objectives:
- To learn how to diagnose and treat endometrial polyps in pre and postmenopausal women.
- To be able to compare the performance of diagnostic modalities.
- To understand the role of outpatient vaginoscopy and hysteroscopy.
- Ethical issues:
- Given the cost effectiveness and acceptability of office ambulatory diagnostic and interventional hysteroscopy, is it ethical not to offer such a service?