Cervical Polyp Removal

Cervical polyps are generally benign, asymptomatic, and noted most often during a routine gynecologic examination. Most polyps arise from the endocervical mucosa, and most occur in perimenopausal women age 30 to 50. For their removal, the patient is placed in the dorsal lithotomy position and a speculum inserted vaginally. A Pap smear should be obtained and the base of the polyp identified to prevent inadvertent removal of a prolapsed endometrial polyp. The polyp is then grasped as close to its base as possible with a ring forceps and twisted. This twisting motion will dislodge the polyp, which should be sent for pathologic assessment. Hemostasis is obtained with Monsel's solution or silver nitrate sticks if direct pressure is not sufficient. (See Tuggy Video: Polyp Removal.)

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