Surgery to remove a polyp in the uterus

Update: December 2018 Using modern diagnostic methods
– ultrasound, hysteroscopy in 6-20% of cases polyps are detected in women
in the uterus, and the only treatment offered by doctors is his
deletion. And even the removal of polyps in the uterus does not always contribute
full disposal of neoplasms, very often occurs
recurrence and polyps reappear as any operation only
It stops the consequences, but does not affect the cause

What are polyps, their symptoms and causes

Polyps in the uterus are endometrial hyperplasia when in some
areas of the endometrium is the growth of the mucous. Polyps are
various forms – round, mushroom, on the leg or thick
base, as well as a different color from pale pink to dark
burgundy, are numerous or single. It is believed that
the main reason for their appearance is an imbalance of hormonal levels
a woman, as a rule, is an excess of estrogen and a lack
progesterone. Also combined with hormonal disorders
They also have various inflammatory processes in the genitals, and
mechanical damage, trauma during childbirth, frequent abortions
(effects), diagnostic curettage.

There are several types of polyps: ferrous, fibrous,
fibro-glandular and the most dangerous adenomatous. Upon detection
polyps it is very important to conduct a histological study to
determine the state of polypous tissue cells, if it
there are signs of proliferation, that is, the birth
oncological processes, such polyps should be removed along with
the uterus. This is considered the initial extent of uterine cancer and delayed
surgery can be very dangerous.

Most often, the small size of polyps does not cause any symptoms.
however, with polyposis (multiple polyps) or with
large size of the tumor, the symptoms may be because
polyps reduce uterine contractility, impair
the natural process of rejection of the mucous, causing bleeding,
what is manifested:

  • uterine bleeding
  • blood, brown secretions in the middle of the cycle
  • lower back pain and pulling pain in the lower abdomen, pain during
  • also in some cases, a polyp can make conception difficult (see
    boron uterus for conception) or promote spontaneous

Therefore, women who want to become pregnant without fail
should remove polyps. After radical treatment and treatment
course of postoperative hormone therapy, gradually occurs
restoration of the mucous and normalized woman’s health. More
in detail about polyps in the uterus, treatment, symptoms, causes can
learn from our article.

How to remove uterine polyp – methods, techniques

The modern method that most effectively produces
endometrial polyp removal is hysteroscopy followed by
curettage of the cervix and uterus (polypectomy and
curettage), as well as subsequent histological examination
removed material. It is also possible to use a separate
diagnostic curettage or laser removal of polyps.

Such factors as the size of the polyp, its structure, age
endometrium, causes of polyp development, and
the presence of metabolic and endocrine diseases in a woman is determined and
tactics of the patient.

  • Удаление полипа в матке

    If a woman has fibrous polyps, they must be

  • If a woman has a glandular fibrous polyp, it indicates 100%
    hormonal imbalance and after surgical
    Intervention is indicated by hormone therapy.
  • In cancer-threatening polyps, adenomatous, in women
    period before menopause (see the first signs of menopause) or in
    menopausal period shows removal of the uterus – extirpation
    uterus or supravaginal amputation with ovarian revision or even
    removal and appendages.

Uterine Hysteroscopy – Polyp Removal

If a woman is going to have an operation to remove a polyp, she should
go to the clinic, where modern
advances in medical technology and doctors of high
professional level who use therapeutic hysteroscopy
uterus to remove polyp.

This is a modern method of examination of the uterus, and removal from
minimal complications without serious consequences for the body
women, this is a gentle procedure because it is performed under
visual control of the operating physician. To make the operation
was successful, there was a good visualization of the entire cavity and polyp,
it is best to perform hysteroscopy after menstruation, but not later
10 days of the menstrual cycle. 6 hours before hysteroscopy
take neither drinks nor food to prevent nausea after

Hysteroscopy of the uterus – removal of polyps is performed under the general
anesthesia, less often under local. Surgery to remove a polyp in the uterus
begins with the introduction of a hysteroscope into the uterine cervix – a thin, flexible
tube with a video camera at the end that transfers the image to
monitor. Next, an examination of the uterus,
determined by the location of the polyp, its size, quantity
neoplasms, followed by a special tool available on
hysteroscope, remove the polyp, then remove the tissue
sent to the laboratory for research.

Leg polyps are to be removed by “unscrewing”, and
the place where the tumor was attached or the polyp bed
cryogenically treated or cauterized by electrocoagulation,
and also a laser can be used – this is produced for
destruction of pathological tissues in order to avoid repeated
sprawl, recurrence of the disease. The duration of hysteroscopy from 10
min to 30 min, depending on the state of the endometrium. Read about
condition after hysteroscopy.

Diagnostic curettage

Nearly 30% of polyp cases recur after removal,
therefore, a very important condition for the operation is
minimal trauma and thorough coagulation (burning)
polyp bed. When a woman is offered a simple diagnostic
curettage without hysteroscopy, in this case the doctor works
blindly and remove the leg of the polyp is impossible, so the best
make hysteroscopy followed by scraping. Still
in many medical institutions there are no modern hysteroscopes yet
and trained personnel, therefore, separate diagnostic
scraping is still used, although less and less.

To date, diagnostic curettage is considered
absolutely useless procedure regarding the treatment of polyps in
uterus. That is, you must first make a hysteroscopy, “tear off”
polyp, cauterize the pedicle, and then conduct a diagnostic
curettage but with the aim of getting the rest of the endometrium to
make sure it is “normal” or abnormal.

Scraping is very often done on urgent indications,
when against the background of polyps or endometrial hyperplasia, there is a strong
bleeding, in this case, such a forced procedure
prevents severe blood loss. In this case, scraping is not with
to remove a polyp (and often bleeding occurs suddenly and
requires emergency measures), and for the purpose of hemostasis. Wherein
curettage method first using special tools
the cervix is ​​dilated and then
metal loop – curettes under general anesthesia, produced
scraping polyps and tissue samples from the uterus
subsequent research.

Laser removal of uterine polyps

Today, this method is used only in Moscow, but
in the near future will have to be used in every city – this
targeted removal of polyps in the uterus with a laser, which
melodramatic, does not leave scars, while preserving
reproductive function, which is especially important for women planning
to have children. Since pregnancy after laser removal is possible
more likely. In the centers where modern are used
technology, complete examination and laser removal of the polyp possible
spend 3 hours without hospital stay without violation
disability, without damaging the uterus.

Also for more thorough diagnostics use is possible.
minihysteroscopy or so-called office hysteroscopy, which
occurs without trauma to the cervix and without anesthesia. Wherein выбор
method of treatment and assessment of the state of the uterus, the woman produces
together with your doctor. With the help of such equipment it is possible
determine any pathology of the uterus – uterine myoma (symptoms of fibroids
uterus), endometrial hyperplasia, intrauterine synechia.

This is the most effective and gentle treatment method, since the doctor
controls the depth of penetration of the laser in layers, preventing
injury, reducing the recovery period, reduced
blood loss, since the laser is sealing the vessels, the procedure does not leave
cicatrices, which is favorable for future pregnancy,
recovery period after surgery 6-8 months.

Selection after removal of the polyp

What is considered normal after removal of polyps

  • After hysteroscopy, a woman may experience minor
    pains of a spasmodic nature when the uterus contracts, as with
  • Within 14-20 days there should be a slight discharge after

After surgery, remove the polyps a week later to the patient
be sure to undergo a routine gynecological examination,
who will prescribe rehabilitation therapy according to the nature
polyp, age of the woman and on the basis of the main reason for the development
neoplasms in women.

Treatment after removal of polyps in the uterus

If the operation is performed through hysteroscopy, then the risk
complications are minimal, it is a fairly safe procedure. But, in
In any case, the true reason for the occurrence of such
neoplasm to conduct prophylactic treatment after
remove polyps.

In the first 3 days after surgery, you should take No-mash 3 p / day,
to relax the muscles of the uterus to eliminate such a phenomenon
like a hematometer – a collection of blood in the uterus from a neck spasm.

Given that polyps often have an inflammatory nature,
doctors prescribe short courses of anti-inflammatory
preventive therapy after operation

The histology results, which are ready in about 10 days,
be sure to discuss with your doctor and they should
pick up and save.

If the cause of polyp growth is hormonal failure, and polyps
glandular and glandular-fibrous, doctors may prescribe
hormones – gestagens, such as Duphaston, Norkolut,
Utrozhestan. Hormonal oral contraceptive drugs –
Yarin, Janine, Jess, Regulon, Dimia.

A woman can also refer to a homeopath or herbalist,
for the possible appointment of prophylactic treatment to such not
traditional methods. Since the treatment of folk remedies
makes sense most often for preventive purposes, after removal
polyps to maintain immunity or hormonal levels. Can
use celandine, boron uterus (see boron uterus – indications
to use), as well as homeopathic medicines for the intended purpose
a doctor.

The consequences, complications of the operation

Если after operation, как выскабливания, так и гистероскопии
the following symptoms occur, you should immediately contact

  • Heavy bleeding
  • Dark-smelling discharge
  • Fever
  • Pain lasting more than 2 days or the occurrence of acute
    severe abdominal pain

Какие могут возникнуть осложнения, последствия after operation
scraping removal?

  • Inflammation of the uterus

very rare phenomenon that is possible if the operation
occurred against the background of undertreated infection, inflammatory process,
as well as if the rules of antiseptics and septic system were violated during
operations. In this case, antibiotic therapy is prescribed.

  • Perforation of the uterus

the formation of a puncture of the uterine wall, which can be when loose
wall or poor extension. Large perforations accounted for
suture, and small overgrown independently.

  • Hematometer

If there is a dramatic cessation of bleeding after
surgery, severe pain – it can be a neck spasm
uterus and hematometer formation. In this case, it is possible
infection and pain that is relieved
anti-inflammatory therapy and taking antispasmodics.

Что нельзя делать женщине after operation?

Since after removal of a neoplasm, 2-3 weeks are noted
minor bleeding, a woman can not be the following:

  • Take a hot bath, bath, sauna, it is better to take only
    shower, as overheating contributes to bleeding
  • Do not take acetylsalicylic acid, aspirin,
    intensifying bleeding
  • During the month you can not lift heavy things, do
  • Carefully maintain intimate hygiene.
  • You can not douche and have sex for a month after

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