Cervical Polypectomy

Definition - What does Cervical Polypectomy mean?

A cervical polypectomy is an office procedure to remove small finger-like noncancerous (benign) growths, called polyps that have a stalk that projects from the opening of the cervix or positioned within the cervical canal (endocervix). The cervix is the narrow passage that forms the lower end of the uterus and extends downward to connect to the upper end of the vagina. The majority of cervical polyps are harmless and do cause any problems. In a few women, cervical polyps can give rise to irregular bleeding, bleeding after sexual intercourse, infertility (especially with larger polyps situated high in the cervix), and very rarely, they may become cancerous. This is why they are removed using special forceps via polypectomy.

FertilitySmarts explains Cervical Polypectomy

A cervical polypectomy is usually carried out in the physician's clinic. After undressing from the waist down, the woman lies on the examination table. An instrument is then inserted to open the vagina wide enough and expose the cervix. Special forceps are then passed into the vagina to get hold of the cervical polyp that may be attached to its base. The polyp is then plucked off at the base by applying a gentle, twisting motion. The remaining base is then removed either by using heat or cold to destroy the tissue (electrocauterization) or by laser surgery. The polyp is then sent to the laboratory for a detailed microscopic examination to exclude any pre-cancerous or cancerous changes. It is normal to experience some bleeding and discomfort after the removal of the polyp.

Huge or broad-based polyps or those emerging close to the uterus may warrant removal under general anesthesia in an operating room via dilation and curettage (D&C).

A cervical polypectomy has an excellent outcome with no recurrence (usually) in the future. Also noted, is the improved fertility rate after the removal of the polyp, which was probably obstructing the transport of sperm.

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