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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Can cervical polyp canceration be cured?

Cervical polyp malignancy, which is cervical cancer, can be completely cured if it is detected and treated early, with a cure rate reaching over 90%. Therefore, routine pathological examination must be performed when removing cervical polyps. If the pathology results indicate polyp malignancy, treatment should be carried out as for cervical cancer. The common treatment methods for cervical cancer are surgical treatment and postoperative radiotherapy and chemotherapy. Timely treatment can lead to a cure.

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Can cervical polyps be treated with medication?

Whether cervical polyps can be treated with medication needs to be determined based on the size of the polyps. Generally, if the cervical polyps are small, anti-inflammatory treatment can be appropriately given to eliminate inflammation and promote the shrinkage of the polyps. However, cervical polyps may not necessarily disappear after anti-inflammatory treatment. Therefore, it is recommended that patients visit the gynecology outpatient department of their local hospital for a gynecological examination to assess the treatment effect of the cervical polyps after the anti-inflammatory treatment. If the cervical polyps persist, surgical removal is still recommended.

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What are the harms of cervical polyps?

Cervical polyps are a common gynecological condition, with their main risks including: First, cervical polyps can undergo malignant transformation, albeit rarely. Once malignant transformation occurs, it leads to adverse consequences and affects the patient's survival. Second, cervical polyps can cause irregular vaginal bleeding. The tissue of female cervical polyps is fragile, so when exposed to external friction or during sexual activity, the blood vessels on the surface of the cervical polyps can rupture, leading to irregular vaginal bleeding.

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Does cervical polyp removal hurt?

Cervical polyp removal surgery will not cause significant pain; however, some discomfort may arise, typically due to the use of a vaginal speculum, which feels similar to the discomfort experienced during regular examinations. The cervix itself does not have pain receptors, so there is no pain felt during cervical examinations and treatments. If there are cervical polyps, the surgery can be scheduled for three to seven days after menstruation has ended, as this timing allows for a longer interval before the next bleeding occurs, which is relatively safer and minimizes the risk of infection.

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How to stop bleeding from cervical polyps?

The cervical polyps in women are relatively fragile, and if there is a concurrent infection, bleeding is more likely to occur. When bleeding from a cervical polyp happens, the best way to stop it is to remove the cervical polyp and then treat the inflammation. Some women may not wish to immediately undergo surgery to remove the cervical polyp; in such cases, local application of hemostatic medicines, such as commonly used Yunnan Baiyao or stuffing hemostatic gauze, or simply using ordinary gauze for compression can be employed to stop the bleeding, followed by the surgical removal of the cervical polyp later.