Outpatient polypectomy
Suitable for polyps whose stalk is visible and accessible in speculums: the doctor grabs the polyp with a fenestrated clamp, separates it from the base with rotational movements and treats the bed with a radio wave electrode or coagulator to stop bleeding and prevent relapse; if there is doubt about the condition of the canal, the canal is additionally scraped. The procedure is almost painless and is performed immediately after menstruation with a clean smear. The histological conclusion after 7–10 days excludes atypia; follow-up examination in a month. For deep-lying or large polyps or multiple polyps, polyp resection under intravenous anesthesia is chosen.
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.
