Removal of a Cervical Polyp
Removal of polyps of the cervical canal: options for surgery
Polyps of the cervical canal is a pathological proliferation of the mucous layer, which is manifested by the protrusion of the outgrowth into the lumen of the cervix. Neoplasms may not manifest themselves in any way or have rather pronounced symptoms: menstrual irregularities, genital infections, infertility.
Symptoms and Causes for Concern
If the following phenomena and conditions appear, you should consult a gynecologist:
- pulling lower abdominal pain , radiating to the lower back;
- copious yellowish discharge throughout the cycle;
- if there is bleeding or dark discharge in the middle of the cycle;
- discomfort during intercourse;
- a brown secret is released together with menses;
- painful periods;
- Difficulty conceiving and bearing.
The reasons for their appearance have not been established, but doctors associate the pathology with hormonal imbalance. At the same time, pregnancy does not occur, in addition, there is a high probability of their degeneration into malignant formations. That is why you need to contact the antenatal clinic when warning signs appear, as well as undergo scheduled examinations.
A sexually transmitted infection - syphilis, papilloma virus, genital herpes , chlamydia, gonorrhea , ureaplasmosis. The development of pathology after diagnostic curettage, installation of an intrauterine device, abortion, childbirth is not excluded. Often, the disease occurs in women before and during menopause, which is caused by hormonal changes in the body.
Methods of surgical removal of a polyp of the cervical canal
Treatment always involves surgery. Neoplasms, one might say, are warts, which, when certain conditions are created, degenerate into malignant ones. They are single and multiple, on a wide base or thin stem. Whenthere are many of them, then the pathology is called polyposis.
Hyperplasia and benign formations by themselves do not have a general systemic effect on the body. Symptoms may be mild or absent. Unlike oncological formations, polyps do not metastasize. The danger lies only in the risk of degeneration into a malignant neoplasm. In addition, their growth to large sizes disrupts the function of the cervix.
Surgery to remove a polyp in the cavity of the cervical canal
Treatment is carried out only by surgery. With the development of pathology during pregnancy (decidual polyp), expectant tactics are chosen, because very often the formation disappears on its own after childbirth. When pathological tissues rapidly increase in size, exceed 2 cm in diameter, become manifest, then they resort to polypectomy, and hysteroscopy is also usually used.
In other cases of the disease, the formation is subject to immediate removal. The removed tissue is sent for examination to find out if they have signs of oncology. For this reason, any other methods of treatment are excluded, since the tissues must first be checked for atypical (cancerous) cells.
Warts, genital warts, some types of polyps are triggered by the human papillomavirus. There are about 100 varieties of the latter, so you need to after the operation, curettage and biopsy to establish a connection between the pathology and the involvement of this virus in it.
Although there is no specific treatment for papillomavirus, after identifying the cause, you can reduce the likelihood of a relapse of the disease, maintain immunity, and conduct antiviral therapy.
When a cervical polyp is removed, hysteroscopy may be used. The neoplasm is literally unscrewed, and then the site of its localization is subjected to coagulation, the removed tissues are sent for histological examination.
A catgut suture can be applied to the wound surface, the canal is scraped and, if necessary, the uterine cavity.
Removal of a polyp of the cervical canal involves further processing of the site of its localization using one of the following methods:
- Use of the drug Solkovagin . This tool has no side effects, but a significant drawback is a course of several procedures. After its application, a crust forms, which is later rejected and comes out along with the secretions;
- Treatment with liquid nitrogen - cryodestruction. The procedure consists in the effect of low temperature on the cells of pathological tissues, resulting in the destruction of the latter. It should be noted that a specialist performing cryodestruction should have a lot of practice in order to correctly choose the freezing speed and, accordingly,but, the depth of penetration;
- The use of radio waves is one of the minimally invasive and gentle methods. A significant advantage is the rapid recovery of tissues, pregnancy after radio wave removal of the polyp of the cervical canal may occur in the coming months;
- Diathermocoagulation - cauterization of the polyp root with an electric current. It should be noted that this method is now used quite rarely, as it is accompanied by a high risk of complications.
This method is one of the innovative and belongs to the category of sparing. It is used on an outpatient basis. That is, after a few hours, a woman can return to her usual business. At the same time, no scars remain, which has a beneficial effect on the state of the reproductive system.
After using the laser, recovery occurs very quickly, while the operation is accompanied by minimal blood loss. The whole process takes place under the control of a video camera, which makes it possible to very accurately process pathological tissues. The surrounding healthy tissue remains unaffected, and the polyp is removed in layers. A significant disadvantage of this method of operations is that they can be used only for single neoplasms.
Discharge and other phenomena after removal of the polyp of the cervical canal
The recovery period in any case, regardless of the method of surgery, will be accompanied by discomfort. The bladder may hurt, that is, the area in the lower abdomen. During rehabilitation, sexual intercourse is not allowed, you cannot take baths, visit baths / saunas, only a shower is allowed, but not hot.
It is also forbidden to douche and use tampons. It is not recommended to lift weights, exercise overly hard, overwork.
How much blood is there after surgical removal of a polyp of the cervical canal? Normally, the discharge is observed for 2-3 weeks. They can be bloody or profuse mucous membranes. If the secret becomes dark, gets an unpleasant odor or stops abruptly, you need to see a doctor, as there is a complication.
How long does it take for the body to recover? If treatment is required (eg hormonal, anti-inflammatory), then the rehabilitation period lasts about six months. In some cases, with mild hormonal imbalance, this period is reduced to 1-2 months, and with serious diseases it can last much longer.
As for the latter, inflammation most often occurs, stenosis and thermal burns are possible. This happens with excessive cauterization of the site of localization of the neoplasm.
With incomplete removal of pathological tissues, the likelihood of relapse is high. That is why it is necessary to identify the cause of the growth of polyps, for example, it can be a violation of hormonal function, genital infection, etc.
After surgery, it is necessary to undergo addiction treatmentand from the reason. Treatment and prevention after removal of the polyp of the cervical canal may consist in taking hormonal, antiviral, anti-inflammatory and other drugs.
In addition, it is very important to timely stop inflammation in the female genital organs. In the future, you can use a variety of traditional medicine recipes to prevent relapses and maintain immunity.