Feasibility of basket technique compared to the office hysteroscopy to treat endometrial polyps in patients undergoing in vitro fertilization


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Zeteroǧlu Ş., Kaya A. E. , Başbuǧ A., Çakiroǧlu Y. , Doǧan O., Çalişkan E.

Turkiye Klinikleri Jinekoloji Obstetrik, vol.28, no.4, pp.132-139, 2018 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 4
  • Publication Date: 2018
  • Doi Number: 10.5336/jcog.2018-62152
  • Title of Journal : Turkiye Klinikleri Jinekoloji Obstetrik
  • Page Numbers: pp.132-139
  • Keywords: Basket polypectomy, Endometrial polyps, In vitro fertilization (IVF), Office hysteroscopy, Polypectomy

Abstract

Copyright © 2018 by Türkiye Klinikleri.Objective: The authors aim to compare the results of office hysteroscopic basket polypectomy with operative hysteroscopy in endometrial polyps detected prior to in vitro fertilization (IVF). Material and Methods: Infertile patients, who underwent polypectomy before treatment, were analyzed retrospectively. Patients who underwent basket polypectomy as office hysteroscopy (Group 1, n=55) and hysteroscopic polypectomy (Group 2, n=49) were included in the study. Demographic data, operation time, success rates, and pregnancy rates after operation were compared between the two groups. Results: The mean operating time for Group 1 was 14.98 ±3.67 min, while that for Group 2 was 18.84±3.30 min (p=0.001). The success rates between the groups were similar (96.3% vs. 100%; p=0.652), without any major complications. Further, the biochemical (52.7% vs. 48.9%, OR 1.19; 95% CI: 0.55-2.59; p=0.696), clinical (43.6% vs. 40.8%, OR 1.16; 95% CI: 0.52-2.59; p=0.712), ongoing pregnancy (38.1% vs. 34.6%, OR 1.21; 95% CI: 0.52- 2.81; p=0.647), live births (34.5% vs. 28.6%, OR 1.3116; 95% CI:0.57-3.03; p=0.514), early spontaneous miscarriage (5.5% vs. 6.1, OR 0.88; 95% CI: 0.17-4.60; p=0.884) and spontaneous pregnancy (5.5 vs. 4.1, OR 0.745;%95 CI: 0.21-8.4; p=0.745) rates after polypectomy were observed to be similar in both the groups. Conclusion: Hysteroscopic basket polypectomy was not inferior to operative hysteroscopy regarding success rates and was found to be superior in terms of operating time in patients planning in vitro fertilization.