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NOT YET RECRUITING
NCT07737301
NA

Yiwu Cold Knife Technique Versus Electrocision for Multiple Endometrial Polyps

Sponsor: The Fourth Affiliated Hospital of Zhejiang University School of Medicine

View on ClinicalTrials.gov

Summary

\# Clinical Trial Summary Template (Based on your endometrial polyp study) The goal of this clinical trial is to learn if cold knife hysteroscopic polypectomy (Yiwu procedure) works to treat multiple endometrial polyps in women. It will also learn about the surgical safety of cold knife hysteroscopic polypectomy (Yiwu procedure). The main questions it aims to answer are: Does cold knife hysteroscopic polypectomy (Yiwu procedure) achieve a 1-year postoperative recurrence rate that is non-inferior to electroresection hysteroscopic polypectomy? What intraoperative and postoperative adverse events and complications do participants experience after receiving either surgical treatment? Researchers will compare cold knife hysteroscopic polypectomy (Yiwu procedure) to standard electroresection hysteroscopic polypectomy to verify whether the cold knife technique can reduce endometrial polyp recurrence without increasing surgical risks. Participants will: Receive either cold knife hysteroscopic polypectomy or conventional electroresection hysteroscopic polypectomy as standardized surgery Attend clinic follow-up visits at 3, 6 and 12 months after surgery for physical examinations and transvaginal ultrasound scans Complete clinical assessment records including menstrual status, abnormal uterine bleeding symptoms, pain conditions and patient satisfaction scores throughout the 1-year follow-up period

Official title: Non-inferiority Comparison of Cold Knife Hysteroscopy (Yiwu Technique) Versus Electrocision for the Treatment of Multiple Endometrial Polyps: A Prospective Multicenter Randomized Controlled Trial

Key Details

Gender

FEMALE

Age Range

20 Years - 48 Years

Study Type

INTERVENTIONAL

Enrollment

850

Start Date

2026-08-01

Completion Date

2029-06-01

Last Updated

2026-07-30

Healthy Volunteers

No

Interventions

PROCEDURE

Cold knife hysteroscopic polypectomy (Yiwu procedure)

Endometrial polyps are removed by mechanical cutting using hysteroscopic micro-scissors or morcellators. No electrosurgical energy is used for resection or hemostasis; bleeding control relies only on mechanical compression of the wound base. No thermal injury to surrounding endometrium is permitted during the operation.

PROCEDURE

Electroresection hysteroscopic polypectomy

Endometrial polyps are excised with standard hysteroscopic electrosurgical loops. High-frequency electric current is applied for tissue cutting and intraoperative hemostasis. Thermal ablation of normal endometrial tissue outside polyp lesions is prohibited per trial protocol.