Removal of one polyp
Single polyps are often located in the fundus or corners of the uterus; the doctor brings the loop to the base, cuts off the polyp along with the stalk to the basal layer, coagulates the bed and removes the entire tissue for histology, preserving the surrounding endometrium. The cavity is re-examined - small additional polyps are removed if detected. The procedure is short, blood loss is minimal, and the patient is discharged the same day or the next morning. Menstruation returns to normal in the first cycle; when planning a pregnancy, conception is possible after 1–2 cycles.
Indications
- endometrial polyps of any size according to ultrasound/hysteroscopy - mandatory removal with histology, especially in menopause;
- abnormal uterine bleeding, intermenstrual discharge, postmenopausal bleeding;
- polyps in case of infertility, miscarriage, before IVF;
- recurrent and multiple polyps, polyps in combination with hyperplasia.
Why resectoscopy and not curettage?
Curettage “blindly” leaves a stalk of the polyp in 30–50% of cases, which leads to relapse and injures the healthy endometrium; hysteroresectoscopy removes the polyp under visual control exactly at the base along with the stalk and preserves the rest of the endometrium - relapses are reduced to 5-10%, and in case of infertility, the implantation rate increases. Each polyp is examined histologically: in 1–3% (in menopause - up to 5–10%), atypia or cancer is found in them, so removal is indicated for everyone, including asymptomatic people. The price depends on the number of polyps.
