Cervical Polypectomy

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  • Asymptomatic cervical polyps found on routine gynecologic examination
  • Cervical polyps associated with pain, bleeding, or other symptoms

Absolute Contraindications

  • Patient unwilling/unable to consent to procedure
  • Patient unwilling/unable to cooperate with vaginal examination

Relative Contraindications

  • Endometrial polyps or cervical polyps with dense pedicle/blood supply
  • Polyps larger than several centimeters
  • Pregnancy
  • Blood dyscrasias
  • High likelihood of multiple polyps
  • Nonsterile gloves
  • Vaginal speculum
  • Colposcope (optional)
  • Ring forceps or cervical biopsy forceps
  • Endocervical curette (Kevorkian) (optional)
  • Pathology specimen containers
  • Silver nitrate sticks
  • Kogan's endocervical speculum
  • Endocervical polyps originate within the endocervical canal. Ectocervical polyps more often affect postmenopausal women.
  • Endometrial polyps can protrude through the endocervical canal and have extensive blood supply, thus complicating management.

Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures


Post-procedure Management

  • Monitor the patient for vasovagal reactions.
  • Provide the patient with a sanitary pad.
  • Advise the patient to take a nonsteroidal anti-inflammatory for 24 hours as needed for abdominal cramping (unless contraindicated).

Post-procedure Patient Education

  • Advise the patient to avoid tampon use, douching, or sexual intercourse for 1 week.
  • Advise the patient that active vaginal bleeding warrants timely reevaluation.
  • Arrange for follow-up at 6 to 8 weeks after the procedure.
  • Routine gynecologic surveillance is appropriate.
  • Post-procedure bleeding or spotting
  • Post-procedure pain
  • Recurrence of polyps
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