Can a 'Cold Knife' beat heat for polyp removal?

NCT ID NCT07737301

First seen Jul 30, 2026 · Last updated Jul 31, 2026 · Updated 1 time

Summary

This trial tests whether a cold knife hysteroscopy technique (Yiwu procedure) can remove multiple endometrial polyps as effectively as standard electrocision, but with less damage to the uterine lining. About 850 women aged 20 to 48 with multiple polyps will be randomly assigned to one of the two surgeries. The main question is whether the cold knife approach leads to fewer polyps returning within a year, while keeping surgical risks low.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
cold knife hysteroscopic polypectomy (Yiwu procedure)
What this could lead to
If successful, this technique could offer a safer, less damaging way to remove multiple endometrial polyps, potentially lowering the chance they grow back.
What could go wrong
This is an early comparison trial; the cold knife method may not prove as effective as standard electrocision, and could carry different surgical risks.

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Conditions

The condition(s) this trial relates to.

endometrial polyp Metrorrhagia

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.