Operative Hysteroscopy in the Management of Endometrial Polyps: Clinical Indications and Surgical Outcomes

Background/Objectives: This study aimed to evaluate the efficacy and outcomes of operative hysteroscopy for the removal of endometrial polyps and assess the procedure's impact on pain experienced by patients. The research was conducted to determine whether the minimally invasive nature of operative hysteroscopy compromises patient comfort when compared with diagnostic hysteroscopy. Methods: The study was conducted at the Gynecology and Obstetrics Clinic of Ba[g]clar Training and Research Hospital over a period of four months. It included 200 women over 18 years of age who were indicated for hysteroscopy. Operative hysteroscopy procedures were performed without the use of a speculum, cervical dilation, anesthesia, or analgesic agents, emphasizing the procedure's minimally invasive approach. Pain assessment utilized the Visual Analog Scale (VAS). Patients were stratified into two groups--those undergoing operative and those undergoing diagnostic hysteroscopy--to compare outcomes and pain scores. Results: The study found that operative hysteroscopy successfully removed 85.1% of the lesions, primarily polyps. There was no significant difference in pain scores between the operative and diagnostic hysteroscopy groups, indicating that the minimally invasive procedure does not increase patient discomfort. Conclusions: Operative hysteroscopy is an effective and tolerable procedure for the removal of endometrial polyps, with high success in complete lesion removal and without significantly impacting the pain experienced by patients. The findings support the use of operative hysteroscopy as a first-line treatment option for endometrial polyps, underscoring the importance of patient selection and the need for further studies on long-term outcomes related to fertility and recurrence.