Article ID Journal Published Year Pages File Type
3921361 European Journal of Obstetrics & Gynecology and Reproductive Biology 2008 4 Pages PDF
Abstract

ObjectiveTo evaluate current practice of Dutch gynecologists in polyp removal.Study designAll practicing gynecologists in The Netherlands in 2003 were surveyed by a mailed self-administered questionnaire about polypectomy. Gynecologists were asked about their individual performance of polypectomy: setting, form of anesthesia, method and instrument used.ResultsThe response rate was 74% (553 of 752 gynecologists). Among the respondents, 455 (83%) stated that they removed polyps themselves. Polyps were most commonly removed in an inpatient setting (71%), under general or regional anesthesia (77%), and under direct hysteroscopic visualization (69%). Gynecologists working in a teaching hospital removed polyps more often in an outpatient setting compared to gynecologists working in a non-teaching hospital (93 (39%) versus 36 (19%) p < 0.001).ConclusionIn the Netherlands, outpatient polyp removal is not practiced on a large scale. However, teaching hospitals are more often performing polypectomy in an outpatient setting. Therefore, we expect that there must be a tendency towards outpatient hysteroscopic removal of polyps for the future. Further research is required to assess the efficacy polyp removal.

Related Topics
Health Sciences Medicine and Dentistry Obstetrics, Gynecology and Women's Health
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