Study on transcervical resection of endometrium for endometrial atypical hyperplasia

Objective To evaluate the role of transcervical resection of endometrium in the diagnosis and treatment of women with endometrial atypical hyperplasia. Methods We conducted a retrospective analysis of operation time, blood loss, complications and prognosis of 26 cases of resectoscopic surgery for endometrial intraepithelial neoplasia. Results The mean age of 26 patients was 43.5. The average operation time was (24.7±10.3)min. The average blood loss is (43.1±11.7)mL. No death, uterine perforation, hyponatremia and electric injury was observed. 26 patients were followed for 1 to 7 years, twenty-one women(80.8%) were amenorrhoeic. Two patients had only spotting. cycling little bleeding relapsed in three additional patients with amenorrhea 4 months or more later. Two patients received hysterectomy. No residual endometrium was found in hysterectomy specimens. The coincidence rate of diagnosis of endometrial atypical hyperplasia was 65.4% between curettage and electroresection. Conclusions Skillful surgery like transcervical resection of endimetrium may be an alternative to hysterectomy in selected patients with endometrial atypical hyperplasia who do not have a demand for pregnancy and are compliant with regular and long-term follow-up.