Polyposis proliferations occur on different organs of the human body. Quite often they are located on female reproductive organs such as the body of the uterus or the cervical canal.
Cervical polyposis develops as a result of hyperplastic processes in the cervical tissues. Polyposis of such localization can cause many problems like bleeding, painful sexual contacts, pain syndrome or problems with conception.
Therefore, before each patient once the question arises, how to treat such growths and whether it is necessary to remove them.
Do I need to remove polyps on the cervix?
According to statistics, cervical polyposis is malignant in about 1.5% of patients.
In addition, cervical polyps increase the risk of various complications in pregnancy such as spontaneous miscarriage, isthmico-cervical insufficiency or low-placental location.
In general, the removal of cervical polyps is necessary in the following cases:
- Severe uterine bleeding;
- When the patient can not become pregnant;
- Absences of menstrual flow;
- Too long or heavy menstruation;
- Lean monthly;
- When a patient experiences pain during intercourse;
- If a woman is disturbed by brownish discharge with an unpleasant odor, indicating the development of the infectious process.
Methods of therapy
Drug therapy for polyposis of cervical sprouting, unfortunately, is powerless. Therefore, you can get rid of the cervical polyp only by removing it.
Before the operation, the patient necessarily undergoes a thorough diagnosis and passes the necessary tests. The patient is checked for the presence of sexually transmitted infections. If any, then first you need to undergo a course of treatment to eliminate them, and only then you can proceed to remove the polyp.
Removal methods for today are known to many, and each of them has its advantages and disadvantages. In general, cervical polyps can be removed by the following methods:
- Radiosurgical method;
- Laser coagulation;
- with Solkagin.
The decision on the choice of operative removal remains for the patient. Some procedures are carried out only on a fee basis, others are available to all free of charge. They differ in complexity and consequences, so it is worth considering them in more detail.
This technique is particularly applicable to single polyposive growths of large size with a diameter of up to 30 mm. Such removal is considered the most common method today and consists in unscrewing the pedicle and further cauterizing the place where the polyp was located.
If the polypous leg is located on the edge, near the external pharynx, the polypectomy is performed by excision and subsequent application of the suture. Then the entire neck area is scraped and treated with iodine-alcohol solution.
If the polyposis is located high in the cervical canal, the polypectomy is performed using a hysteroscope with targeted removal of the polyp.
The cryotherapy method involves the use of liquid nitrogen. This method applies only to small polyps.
Cryodestructive removal of polyps is recommended for the 9th day of the menstruation cycle.
The polyp is processed with liquid nitrogen and frozen, as a result, the polypous cells die off, the build-up is detached, and the bed of its bed is cauterized.
The healing process continues according to the size of the removed polyp and the diameter of the postoperative wound.
This method is considered to be one of the most effective, practically does not cause complications, but it has its drawbacks - it is quite expensive and equipment for cryodestruction is not available in all medical institutions.
Laser removal of cervical polyps also refers to modern minimally invasive and innovative methods and has a lot of advantages:
- It does not require a long recovery of the patient;
- There is no scar tissue left on the site of the removed polyp;
- Minimal blood loss;
- Procedure eliminates the risk of complications;
- The removal of polypous growth is carried out layer by layer, the surrounding healthy tissues are not damaged.
A similar removal is carried out approximately on the 5th-6th day of the cycle. The procedure for laser removal is noteworthy in that when the formation is eliminated, the bed is simultaneously cauterized.
But there are disadvantages in laser therapy, such as high costs, the likelihood of recurrence and limited use in case of suspected malignancy of the polyp.
The radio wave technique for the removal of cervical polyposis involves the use of radio waves. The procedure is almost identical to laser removal and differs only in the nature of the effect.
A similar method of removal is preferable for women who plan future pregnancies in the future.
Radiosurgery is considered one of the sparing surgical procedures, because it is not accompanied by hemorrhages and has a minimal probability of infectious complications.
The recovery period lasts about 6-8 weeks. But, as in the previous case, such treatment is not affordable for every patient, and equipment is not available in every clinic.
Treatment with Solkagin
Sometimes cervical polyposis is removed by treatment with Solkagin.
The drug is absolutely harmless for patients, so you should not be afraid of any complications. Doctors say that such a technique is absolutely safe.
Another of the innovative methods of removal - diathermoeksciziya. This technique is based on the use of an electric knife.
Anesthesia is removed, so the patient does not feel any discomfort. The wound completely heals in about 8-12 weeks.
Specialists note that such treatment has some disadvantages. For example, after such removal, scars remain which may disperse during pregnancy or during delivery of
. Consequences of
. Occasionally, after removal of cervical polyps, complications such as:
- may occur. Neck stenosis( narrowing of the uterine neck lumen);
- Thermal burn;
- Recurrence of polyposis proliferation;
- Infectious processes;
- Bleeding - often occurs when removed by unscrewing or scraping.
The occurrence of such complications is unlikely, but there is a certain risk in removing the polyp by any of the methods described above.
Treatment after removal of the cervical polyp
For about 2-3 weeks after removal, the patient may experience some uncomfortable sensations such as smearing vaginal discharge and minor pulling tenderness, as with menstruation.
If necessary, after a post-operation examination, the gynecologist will prescribe medication. The control examination is carried out after a week from the date of removal.
Usually postoperative consequences are quite rare, because today the removal of cervical polyposis is carried out by modern methods. The doctor can prescribe a hormone therapy course in order to equalize the patient's hormonal background.
If the polyp has been triggered by inflammation or a similar complication has arisen as a result of the operation, then anti-inflammatory therapy is performed using antibiotic drugs.
During the recovery postoperative period, the patient during the first 3 weeks can not:
- To visit the sauna or steam room, sauna, solarium, only shower procedures are allowed;
- Use tampons, only gaskets are allowed for excreta;
- To engage in heavy physical activities, sports, weight-lifting, etc.;
- It is necessary to exclude sexual contact.
If the polypous cervical proliferation has not been completely removed, then a relapse may occur. Therefore, it is very important to identify the etiological factor that triggered the appearance of the polyp, with a view to its mandatory elimination. Only then relapse can be avoided.
A couple of years ago, I was removed a cervical polyp. The doctor just unscrewed it, and burned something. And that's all. A little belly was drawn, as if before the menstruation, but in general it was not painful. And I did not really like the smell of burnt meat. In general everything is good.
Polyps were discovered by chance when the medical board was passing. One in the uterus was, the other on the neck grew. Both laser formations were removed. No pain, no complications. Already a year and a half has passed. About once a year I go to the gynecologist, while there were no relapses.
I have a friend in a private clinic gynecologist working, so I go to her sometimes, for prevention examinations pass. So they found a polyp on the neck. At them in clinic practice removal by a radio-wave knife, here I also have agreed. It was a little uncomfortable, although they did anesthesia. But, in general, everything was fine, and no complications.
I have been suffering from the polyp for the eighth year already, I deleted it four times already, but then it jumps out again in the same place. A bunch of Moscow clinics passed, each time in a new one, but it grows up again. The laser was cauterized, scraped, hysteroresectoscopy was done - nothing helped. I want to try Solkovagin now. About him, the reviews are good, maybe it will help me.
The price of procedures
The cost of removing cervical polyps is determined by the procedure of operative impact and the status of the clinic where removal will be performed:
- Cervical polyp removal by laser - 3 000-9 000₽;
- Cryodestruction - 4 000-12 000₽;
- Diathermoeksciziya - 5 000-8 000₽;
- Unscrewing - 1 500-2 000₽;
- Radiotherapy - 4 500-11 000₽.
How to remove polyps on the cervix by hysteroscopy, shown in this video: