Comparison Between Two Different Tools for Outpatient Hysteroscopic Polypectomy: 5Fr Bipolar Electrode vs. Conical Optical 5Fr Fibers for Dual Wave-length Diode Laser

What this Trial Is About

Researchers are comparing two different surgical tools, a 5 Fr bipolar electrode and a 5 Fr angled conical optical fiber for a dual wavelength diode laser, to perform hysteroscopic polypectomy in an outpatient setting. The study aims to assess procedure time, use of additional instruments, procedure effectiveness and safety, sample quality for analysis, instrument suitability, patient pain and anxiety, and changes in quality of life after treatment for women with suspected small endometrial polyps. Participants will undergo a detailed medical evaluation and pelvic ultrasound before the procedure. During outpatient hysteroscopy without anesthesia, one of the two tools will be used for polypectomy. The procedure is performed using a vaginoscopic approach with saline distension and continuous video recording. The operator will evaluate the instrument's performance, and a pathologist will assess the tissue sample quality. Pain and anxiety will be measured 20 minutes after the procedure, and patients will be observed for 30 minutes before discharge. Follow-up occurs 60 days later with another pelvic ultrasound to check for residual tissue, repeated quality of life questionnaires, and assessment of any late complications. The study measures the time to complete the hysteroscopic procedure as the primary outcome while also tracking additional instrument use, lesion removal effectiveness, adverse events, tissue quantity, instrument suitability, pain, anxiety, and quality of life over time. Women aged 18 to 60 with small suspected single polyps and specific symptoms may participate.

5Fr Bipolar Electrode vs. Conical Optical 5Fr Fibers for Dual Wave-length Diode Laser for Hysteroscopic Polypectomy