Are We Justified In Doing Hysterectomy???
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Endometrial polyps are localised hyperplastic overgrowths of endometrial glands and stroma around a vascular core that form a sessile or pedunculated projection from the surface of the endometrium. Incidence is unknown because many polpys are asymptomatic. Prevalence is reported to be between 7.8% to 34.9% and in women with postmenopausal bleeding, it is around 37.7%. Malignancy is uncommon and occurs in 0% to 12.9% of endometrial polyps. Out of 113 cases with postmenopausal bleeding, 14 patients were suspected to have endometrial polyps. Diagnosis was based on transvaginal USG. Out of 14 patients, 8 patients underwent hysterectomy, 2 underwent saline sonogram with hysteroscopy and 4 underwent hysteroscopy.This study was carried out to emphasize that hysteroscopic removal can be preferred to hysterectomy because of its less invasive nature, lower cost and reduced risk to patient. Removal of histologic assessment is appropriate in postmenopausal women with symptoms, but needs further follow up.
Authors and Affiliations
M. Harini, Rajeswari . KS, Preet Agarwal
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