Ultrasound-Guided Polypectomy: Evaluation of a Novel Technique to Remove Endometrial Polyp in the Office

STUDY OBJECTIVE: To demonstrate a novel technique of office-based polypectomy using universal grasping device under transabdominal ultrasound guidance. DESIGN: Stepwise demonstration of ultrasound guided polypectomy with narrated video footage. SETTING: Academic tertiary care Hospital. PATIENTS OR PARTICIPANTS: 43-year-old female with abnormal uterine bleeding secondary to endometrial polyp (20 × 11 × 16 mm) for 3 months INTERVENTIONS: Saline infusion sonogram (SIS)was used to delineate the polyp. Then using the universal grasping forceps (2.5 mm X 25 cm), which was introduced through the cervix into the uterus, the polyp was removed in multiple attempts. MEASUREMENTS AND MAIN RESULTS: Complete removal of polyp as confirmed by follow up transvaginal ultrasound after 2 months. Complete resolution of patient's symptoms. CONCLUSION: During the time of COVID 19 global pandemic, this technique can be used safely and effectively to remove endometrial polyp in the right patient population, hence decreasing the burden of OR procedures.