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Polypectomy

The Australian Centre for Female Pelvic and Vaginal Rejuvenation
The Australian Centre for Female Pelvic and Vaginal Rejuvenation

What are polyps?

Polyps are masses, lumps, tumours or growths sticking out or protruding from a mucous membrane. They are often benign (innocent/non-cancerous) but they can sometimes represent a malignant (cancerous) lesion. Although mostly benign, doctors will usually recommend that they are removed and sent for histological analysis to confirm that they do not represent any sinister disease process.

Normal cervix

This is an endocervical (inside the cervical canal) polyp which has grown out onto the outer cervix

This is another endocervical (inside the cervical canal) polyp

This is an ectocervical (outer surface of the cervical canal) polyp

Normal endometrial cavity

A large, solitary endometrial polyp distending the endometrial cavity

The endometrial cavity distended by multiple endometrial polyps

Multiple endometrial polyps. Histological analysis revealed endometrial cancer

Normal urethral orifice

A urethral caruncle with underlying urethral prolapse. The caruncle is a form of polyp

Normal bladder

A polypoid bladder lesion. A biopsy was taken. Histological analysis revealed it to be a transitional cell cancer

Symptoms associated with polyps

Symptoms associated with polyps are determined by their location, size and how long they have been present for:

None
Bleeding
Discharge
Pain
Discomfort
Irritation

Methods used to remove or destroy polyps

This is the tip of a type of polyp forcep. The polyp is grasped, twisted and avulsed (pulled off)

A bladder polypoid lesion in the process of being biopsied

A resectoscope being used to remove a large endometrial polyp. The resectoscope uses electrical energy

Destruction of the polyp using an energy source (electrical or laser)

A rule of thumb!

All (or a good representation) polyps should be removed and sent for histological analysis to determine the nature of the lesion and to exclude malignancy. This is a form of tissue biopsy.

Laser Vaginal Rejuvenation Institute of Adelaide
Laser Vaginal Rejuvenation Institute of Adelaide