Application of thulium laser for endometrial polyp removal in women of reproductive age

Background: Endometrial polyps are a common gynecological condition, occurring in 10%–24% of women of reproductive age, which often leads to infertility and menstrual disorders. Bipolar resection is considered one of the effective methods of polyp removal; however, it is accompanied by significant pain and prolonged recovery. Among the more effective and less painful approaches, the use of the thulium laser is considered a promising option, having already proven successful in modern urological practice. Aim: To evaluate the efficacy and safety of thulium laser polypectomy in women of reproductive age. Methods: The study, which included 46 women with endometrial polyps (23 in each group), compared two methods of polypectomy: thulium laser and bipolar resection. The following parameters were taken into account: procedure duration, pain level, time to menstrual cycle recovery, recurrence rate, and acceptability. Results: Thulium laser treatment demonstrated shorter operation time (10.04 ± 0.97 min vs 13.86 ± 1.20 min), less pain, faster recovery of menstrual function (28.6 ± 2.9 days vs 34.65 ± 3.06 days), and a lower recurrence rate (8.69% vs 17.39%). Patient acceptability of the thulium laser was also higher (99.39% vs 92.39% at 1 month). Conclusion: The findings indicate the benefits of thulium laser in the treatment of endometrial polyps and highlight the need for further studies to assess its long-term outcomes.