When is resection under anesthesia necessary?
Polyps with a wide base, more than 1–2 cm in size, located deep in the canal or at the internal pharynx, multiple and recurrent polyps cannot be safely removed by unscrewing: the canal needs to be widened, excision with a loop under visual control (hysteroscope) and curettage of the canal mucosa in order not to leave a stalk and to obtain material for histology. Intravenous anesthesia makes the intervention painless and allows you to simultaneously evaluate the uterine cavity and remove endometrial polyps, if present. Discharge 7–10 days; sexual rest for 3 weeks; histology after 7–10 days; inspection in a month.
Indications
- polyp of the cervix or cervical canal, identified during examination or ultrasound, of any size (mandatory removal with histology);
- contact spotting, intermenstrual bleeding, profuse leucorrhoea;
- polyp when planning pregnancy and before IVF;
- recurrent polyps - with canal curettage and hysteroscopy.
Why does a polyp need to be removed?
Cervical polyp is a benign growth of the pedunculated canal mucosa, a common cause of contact bleeding and discharge; in 1–2% of cases, precancerous changes are found in it, but the polyps do not disappear on their own. Removal is outpatient, quick and virtually painless, with mandatory histology. To prevent relapse, it is important to eliminate the cause: chronic inflammation, hormonal imbalance; when combined with an endometrial polyp, hysteroscopy is performed.
