What are polyps and what are the causes of polyps?
Uterine polyps, also known as endometrial polyps, form when the cells in the inner lining of the uterus (endometrium) overgrow. While most of these polyps are usually benign (non-cancerous), some can be cancerous or can turn into cancer (precancerous polyps).
If you’re seeking expert care and advice from a gynaecology surgeon in Melbourne, please call us.
How are uterine/ endometrial polyps removed?
Polyps are traditionally removed at the time of hysteroscopy blindly, with either polyp forcep or curette. Recheck hysteroscopy is then performed to ensure complete removal of polyp by a gynaecologist.
Hysteroscopic resection of polyp under direct vision should be considered the gold standard treatment when the expertise and equipment are available.
A thin telescope (hysteroscope) is passed through the cervix and into the uterus to visualise the polyp. The inside of the uterus is then expanded with liquid. A built-in wire loop that carries an electrical current then passes through and cut the polyp from the uterine wall for removal. A ‘newer’ instrument called Myosure is an alternative to remove the polyp without using electrical current.
What are the advantages of hysteroscopic resection of polyps over a traditional polypectomy?
Direct visualization of the polyp while resecting it reduces the risk of uterine perforation and adhesions (scarring). It also allows more complete removal of polyp and lower recurrence rate.
Dr Kent Kuswanto is available to see his private patients in Epworth Freemasons in East Melbourne and Werribee.
