Prevalencia de pólipos endometriales diagnosticados mediante histerosonografía en pacientes del Hospital "José Carrasco Arteaga Cuenca", enero - diciembre 2016

Abstract

Introduction: Endometrial polyps are abnormal growths of the wall of the uterus, they can be one or multiple and their frequency increases with age, being of higher incidence in the perimenopausal period, it is also the most frequent benign pathology in patients with infertility or abnormal uterine bleeding, being responsible for approximately 25% of the metrorrhagia of menopause, their risk of postmenopausal malignancy is variable and is directly related to abnormal bleeding. Objective: To determine the prevalence of endometrial polyps diagnosed by hysterosonography in female patients of "José Carrasco Arteaga" Hospital in Cuenca, from January to December 2016. Material and method: A descriptive, retrospective investigation was developed based on the reports of 162 hysterosonographies, which are included in the medical records of the Department of Imaging of the Hospital José Carrasco Arteaga, of the patients attended in the period January - December 2016. The prevalence and characteristics of the selected variables were determined. Results: A prevalence of endometrial polyps of 62.3% was reported, the most frequent age was in the range of 40-49 years (47.5), the patients of the urban area were carried out the study in greater percentage (89.1%), the most frequent reason for consultation for the examination request was abnormal transvaginal bleeding (85.1%). According to the characteristics of the polyp, the most frequently reported size (89.1%) was 0.6-29 mm. The highest percentage of polyps was located in the posterior portion of the endometrium (61.4%), the polyps with a base of sessile implantation were the most frequent (88.1%). Conclusions: The most frequent cause for hysterosonography was the presence of endometrial polyps. In the research work performed the most frequent age of presenting polyps was in the range of young adults (40 - 49 years). The patients of the urban area are the ones who practiced this test more frequently. Transvaginal bleeding was the sign and main symptom in the population investigated. Among the characteristics of the polyp, I highlight the size of 0.6 - 29 mm located mostly in the body segment of the uterus and based on sessile implantation