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We found a significant difference before and after the procedure in (1) mean RMT (+2.0 mm; P 0.001); mean size of the CSD (base +1.6 mm; height -2.5 mm; transverse diameter -3.2 mm; volume -263.7 mm ; P 0.001); (2) mean VAS score for dyspareunia (-5.84; P 0.001), dysmenorrhea (-8.94; P 0.001), pelvic pain (-2.94; P 0.001); (3) AUB rate (91% vs. 3%; P 0.001). Lastly, the mean PGI-I score ± SD was 1.7 ± 0.9. Channel-like (360°) hysteroscopic resection for the treatment of patients with symptomatic CSD may lead to a