Hysteroscopic Polypectomy in a Case of Post Menopausal Bleeding

Video case: 56 years patient presented with post menopausal bleeding. She was referred for hysteroscopic polypectomy as previous surgeon had a fasnipiled attempt of D&C. TVS USG has revealed varied curved endocervical canal. Senile endometrial polyps were visible. Hysteroscopy was performed using 2.9 mm telescope with operating sheath. This was to negotiate the curved endocervical canal. There was difficulty in negotiating operative sheath through endocervical canal because of associated fibrosis as evident, scissors was used to open the endocervix. Once the canal was opened, the operative sheath was withdrawn, bipolar 22 fr resectoscope was inserted and was used for resection of uterine senile polyps. The histopathological examination confirmed the polyp as senile polyp.