How is cervical polyp surgery performed?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 02, 2024
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Cervical polyp removal surgery is a very common minor procedure in gynecology. This surgery involves minimal trauma, short operation time, and quick postoperative recovery. Generally, we conduct this surgery in the minor operation room of the gynecological outpatient clinic, and it does not require hospitalization; patients can go home right after the removal. During the procedure, we can use a biopsy forceps or a small curved forceps to directly clamp the pedicle of the polyp and remove it. Ideally, the procedure should be done under a colposcope. When using a colposcope, applying acetic acid or Lugol's solution helps in observing the appearance of the cervical polyp, facilitating differentiation from other conditions, such as Nabothian cysts which can easily be confused with cervical polyps.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can cervical polyps affect fertility?

It is generally found that cervical polyps do not affect fertility, only endometrial polyps beneath the mucous membrane affect fertility. If a simple cervical polyp is found, it can be removed through a polypectomy, and treating inflammation symptomatically after the surgery is usually sufficient. Cervical polyps generally do not affect fertility, but those located beneath the mucous membrane do because they can disrupt the implantation of a fertilized egg in the uterine cavity by implanting at the site of the polyp, affecting embryonic blood circulation, which can lead to biochemical pregnancy or threatened miscarriage. Therefore, if endometrial polyps affect fertility, it is clear that cervical polyps do not. The treatment for cervical polyps is also quite simple and can generally be handled in the outpatient department of a hospital.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do cervical polyps require surgery?

Under normal circumstances, cervical polyp surgery is required. The purpose of the surgery is firstly to completely remove the cervical polyp tissue, and secondly, the removed polyp tissue can be sent for pathological examination to further confirm the diagnosis and determine the potential malignancy of the cervical polyps. If the patient's cervical polyp is relatively small, it is recommended that the patient undergo other methods of surgical removal of the polyp, such as laser or cryotherapy physical treatment methods.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Is it serious if a cervical polyp bursts?

The texture of cervical polyps in women tends to be more fragile, and they may have inflammatory cell infiltration on their surfaces, which could also affect coagulation functions. If rupture occurs, the bleeding could last longer. Some women with cervical polyps experience minor ruptures and minimal bleeding, which can be quickly stopped using simple compression hemostasis or by applying traditional Chinese medicines locally. However, if the rupture area of the polyp is large, ordinary methods may not suffice to stop the bleeding. Particularly, some cervical polyps in women may indicate carcinogenic changes, as cancer can grow rapidly, possibly outpacing the blood supply, leading to local rupture and shedding. In such cases, the resulting bleeding can be fatal and difficult to control.

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Written by Zhang Peng
General Surgery
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Is cervical polyp surgery painful?

Is cervical polyp surgery painful? The answer is not certain, as many minimally invasive techniques are now used, and some very effective anesthetics are applied, so the pain from cervical polyp surgery is not significant. When conducting hysteroscopic surgery or gynecological color ultrasound, if cervical polyps are found, they are generally removed through minimally invasive methods using a hysteroscope. The main purpose of this is to make a definitive pathological diagnosis of the polyp, which can help in early screening for many cervical diseases, such as cervical cancer.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can cervical polyps disappear on their own?

Under normal circumstances, cervical polyps do not disappear on their own. However, it is often observed in outpatient clinics that cervical polyps identified before menstruation disappear after menstruation. This scenario is relatively rare, but it does occur. This does not mean that the cervical polyp has disappeared spontaneously. Rather, under the influence of menstruation, the cervical polyp can retract into the cervix. During gynecological ultrasound or examinations, it is not possible to detect the retracted cervical polyp. In such cases, it is recommended that the patient returns for a follow-up examination in the clinic one to two weeks later to confirm whether the cervical polyp still exists.