Bipolar 15 Charrières Office Resectoscope : Polypectomy Without Anesthesia

Not Applicable

Terminated

Brief Summary: This study aimed to the feasibility of polypectomy without anesthesia using a 15 Ch. resectoscope in women with uterine polyps.

Detailed Description: Endometrial polyps are frequent gynecological pathologies leading to metrorrhagia, infertility, miscarriages and the risk of transformation into malignant pathology. The discovery of an endometrial polyp requires its removal.

The treatment of endometrial polyps is conventionally carried out by hysteroscopic resection under general anesthesia with a bipolar resector of 22 Charrières (Ch) or more after dilation of the uterine cervix in the operating room.

Following the recent appearance of a 15 Ch. bipolar mini-resectoscope, it seems that uterine dilation and anesthesia could be avoided by reducing the caliber of the instrument.

Recruitment & Eligibility

Inclusion Criteria

Female patients aged 18 or over
Patients with 1 to 2 endometrial polyps
Polyps diagnosed by ultrasound and / or diagnostic hysteroscopy following a check-up for menometrorrhagia, infertility or during a check-up
Polyps measuring less than 3 cm
Have signed a consent form
Be affiliated with a Health Insurance plan.

Exclusion Criteria

Pregnant or lactating patient
Cervical stenosis
Patient having more than 2 polyps
Polyps measuring 3 cm or more
Malignant cells on histology
Associated indication of endometrectomy or other endo-uterine gesture
Hypersensitivity to remifentanil or to other fentanyl derivatives or to any of the excipients of the specialty used
Hypersensitivity to propofol or to any of the excipients of the specialty used
Cardiac pathology
Diaphragmatic hernia
Morbid obesity (BMI> 35)
Invasive cervical cancer
Chronic obstructive pulmonary disease
Patient presenting a strictly greater than 4 on a pain scale (from 0 to 10) during a diagnostic hysteroscopy
Does not speak and / or understand French
Be deprived of liberty or under guardianship.

Arm && Interventions

Group	Intervention	Description
Polypectomy without anesthesia or analgo-sedation	Polypectomy without anesthesia or analgo-sedation	Patient will undergo polypectomy without anesthesia.

Primary Outcome Measures

Name	Time	Method
Feasibility of polypectomy, with a mini-resectoscope of 15 bipolar careers, without general anesthesia or analgo-sedation	1 day (surgery)	Use or not of general anesthesia or analgo-sedation during the surgery

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction	4 months	Patient satisfaction on a scale from 1 to 5 (1 meaning not satisfied at all and 5 very satisfied)
Pain assessment during and after surgery	1 day (surgery)	Pain assessment on a scale from 0 to 10; before surgery, during surgery (during the introduction of the hysteroscope into the uterine cavity, during the possible placement of a speculum and during the removal of the polyp at the handle) then 15 minutes, 1 hour and 2 hours post-operative
Identification of factors influencing the success of the main criterion	4 months	Correlations between preoperative data and main evaluation criterion (patient with or without analgo-sedation and or general anesthesia)
Capacity and clinical condition of the patient allowing her discharge	1 day (surgery)	Capacity and clinical condition of the patient allowing her discharge 15 minutes, 1 hour and 2 hours after surgery
Post operative diagnostic hysteroscopy result	4 months	Control diagnostic hysteroscopy: success if absence of visible intra-cavitary projection at the base of the excised polyp(s)

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