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

Abstract

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. © 2019 Elsevier B.V., All rights reserved.