Cervical canal polyp

Polyps of the cervical canal are neoplasms that originate from the cylindrical epithelium of the endocervix. They grow in the lumen of the cervix. Detect themselves polyps with whites, drawing pains, contact bleeding. To confirm the polyps of the cervical canal, vaginal examination is performed, cervicoscopy, colposcopy, cervical scraping is sent for histological analysis. The polyp is usually removed by the method of twisting its pedicle, after which the bed is cauterized and then the scraping of the cervical mucosa is performed.

Reasons for

The genesis of polyps is still unclear. Nevertheless, it is known that polyps often appear in women who are over 40 years old. At the heart of the development of such tumors are often hormonal disorders, immune disorders, age-related changes in the body, stressful situations. Also, the cause of polyps can be a mechanical trauma to the cervix, trauma can be obtained during abortion, hysteroscopy, childbirth, diagnostic curettage. Chronic endocercizitis can also provoke the development of polyps.

Often( about 75% of cases) cervical canal polyps are formed along with pseuderosion or cervical erosion, ovarian cysts, uterine myoma, ovarian dysfunction, endometriosis, atrophic colpitis, endometrial polyps. In addition, there is a correlation between the frequency of occurrence of tumors with STIs and malfunctions of the vaginal microbiocenosis: gardnerellez, candidiasis, papillomavirus infection, chlamydia, trichomoniasis, genital herpes, mixed infections, ureaplasmosis, mycoplasmosis.

Symptoms of

Single and small tumors often occur without symptoms and are detected by chance. Manifestation of manifestations of symptoms is usually associated with secondary modifications in polyps - inflammation, infection, expression, trauma. At this stage, there are discomfort and pulling pain, localized in the lower abdomen. Appear also pathological serous-purulent or serous leucorrhoea. If the polyp is injured, then there are contact bleeding or secretions of a saccharine nature.

Infertility and malfunctions of the menstrual cycle in this disease are usually associated with a concomitant anomaly or causes that provoked the formation of polyps. Very rarely there is malignancy of cervical polyps.

Treatment of

Polyps of the cervical canal are always removed. After in aseptic conditions with the help of mirrors the cervix of the uterus is exposed, the tumor is grasped by the final clamp, and then removed, by twisting movements. After that, with the help of curette, the cervical canal is scraped, thus, reaching a complete removal of the polyp's leg. Additionally, the bed of the polyp is processed by a radio-frequency or cryogenic method. With echographic signs of modifications of the endometrium, a hysteroscopy with scraping of the uterine cavity is performed. In the event that the polyps are located near the external throat, they are excised wedge-shaped, after which a catgut suture is applied. Polyps, which are located in the upper parts of the cervical canal, are removed under hysteroscopic control. The excised material is sent for histological analysis to find a benign or substandard polyp. Depending on the data received, further treatment is prescribed - hormonal or anti-inflammatory therapy.

Exacerbation of polyposis of the cervical canal is an indication for cone-shaped excision of the cervix.

During the child's birth, the excision of cervical canal polyps is possible only if the size of the polyps exceeds 1 cm, bleeding occurs, with rapid growth of the neoplasm, initial malignancy of the polyp, and signs of necrosis.

Prevention

Prevention of polyps of the cervical canal - regular passage of dispensary examination, prevention and timely therapy of endocrine and gynecological anomalies, exclusion of traumatic effects on the cervix.