Endometrial Polyps

Abstract

Introduction: Endometrial polyps are excessive growths of stroma and glands that project into the uterine cavity.
Objective: To evaluate the relationship between size, number of polyps and symptoms in postmenopausal women.
Methods: a retrospective analytical study was conducted, from April 2018 to August 2020, in 174 postmenopausal patients with endometrial polyps diagnosed and treated by
hysteroscopic morcellation in the Hysteroscopy Unit at Juan Ramón Jiménez Hospital in Huelva, Spain.
Results: A total of 174 hysteroscopic polypectomies were registered by hysteroscopy. They were distributed in 86 symptomatic (49.4%) and 88 asymptomatic (50.6%). The
mean age was 62.84 years. The overall mean volumes in each group were compared and there were no differences between the two (p = 4.7 cc and ps = 4.9 cc, respectively).
Greater symptoms were observed in patients with polyposis versus solitary polyps, although there was no difference in volumes between groups. No significant differences
were found in the volumes resected in symptomatic patients compared to those wihout postmenopausal metrorrhagia. On the contrary, symptoms were observed in the low
percentage of malignant and premalignant pathologies treated by hysteroscopic morcellation.
Conclusions: This finding underscores the importance of conducting prospective multicenter studies to predict the risk associated with symptoms and the volume of the
piece, to enable optimal management of endometrial polyps in asymptomatic women.