Dr Dimple Doshi

Dr Dimple Doshi

HYSTEROSCOPIC POLYP REMOVAL

What is HYSTEROSCOPIC POLYP REMOVAL

Hysteroscopic polyp removal is a daycare procedure for removing uterine polyps using hysteroscopy.

Uterine polyps are overgrown tissues developing inside the uterus, and the majority of them are noncancerous, and very less frequently they can be precancerous or cancerous. Uterine polyps become more common when a woman gets older; especially in post-menopausal women.

 

“CPT code for HYSTEROSCOPIC POLYP REMOVAL – 58558″

Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.

The majority of people do not know that they have polyps. And the polyps are identified as an incidental finding while getting screened for other issues.

Indications for uterine polyp removal are:

  1. Very large polyps cause symptoms like heavy bleeding and vaginal discharge.
  2. Those seeking infertility  treatment
  3. Bleeding after menopause due to polyp
  4. Any size polyp associated with heavy bleeding
  1. You will be asked to carry all your investigation reports which include your complete blood count; liver, thyroid; kidney function tests and other preoperative tests, and the x-ray chest.
  2. You will be asked to stop the medications like estrogen-containing medicines a month prior to surgery and also blood thinners like aspirin at least a week prior to surgery.
    At the same time you will be asked to continue your thyroid; blood pressure and diabetes medications.
  3. You will be asked to report any signs of illness in case you have it prior to surgery.
  1. This procedure is done under general anesthesia in the operating room.
  2. The uterus is distended with normal saline.
  3. A polyp is directly visualized after a tiny hysteroscope is inserted through your cervix. It is then cut with tiny and very slender scissors called hysteroscopic scissors; grasped the cut polyp with a special instrument called hysteroscopic grasper and removed.

There are other methods also to remove the uterine polyp through hysteroscopy like using loop electrodes and electric current provided by high-frequency electro generators.

  • You will be in the recovery room for 2 hrs after you wake up from anesthesia. You may feel sleepy for the next few hours after which you will be shifted to your room.

    You may have some discomfort in the area or you may feel tired for a few days after the procedure but with each passing hour, you feel better.

    Contact your doctor immediately if the pain does not go away or if it is associated with nausea and vomiting or any other problems.

You will be asked to start taking clear liquids 1 hr after the surgery followed by a light diet. You may be asked to walk around after you are out of the sedation.

Once your doctor is sure that you can walk without any giddiness due to anesthesia medicines; you will be discharged.

As with any surgical procedure, there are associated risks and complications which include:

  1. Problems of anesthesia
  2. Injury to internal organs
  3. Bleeding and infection

Any specific risks and complications will be discussed with you prior to the procedure.

Q: HOW PAINFUL IS UTERINE POLYP REMOVAL?
A: Uterine polyp removal is done under anesthesia with the help of Hysteroscopic, so it is not painful.

 

Q: WHEN ARE UTERINE POLYPS REMOVED?
A: uterine polyp removal procedure is normally scheduled after menstrual bleeding has stopped and before you begin ovulation. This is about 1 to 10 days after your period.

 

Q: WHEN TO GET UTERINE POLYPS REMOVED?
A:Polyps cause heavy bleeding and sometimes they are suspected to be cancerous or precancerous. So they should be removed. They should also be removed if they cause miscarriage or infertility.

 

Q: HOW IS POLYP REMOVED FROM THE UTERUS?
A: Hanging cervical polyps can be removed directly by shearing while uterine polyps are removed under general anesthesia with hysteroscopy.

 

Q: HOW MUCH BLEEDING HAPPENS AFTER UTERINE POLYP REMOVAL?
A: Mild bleeding or spotting may or may not happen after uterine polyp removal. And this will stop in 3 to 4 days.

 

Q: HOW MUCH DOES UTERINE POLYP SURGERY COST?
A: Uterine polyp surgery costs from INR 15000 to 25000.

 

Q: WHAT HAPPENS AFTER UTERINE POLYP REMOVAL?
A: Your heavy bleeding comes in control and the chances of miscarriage reduce and the chances of successful pregnancy increase.

 

Q: HOW LONG DOES UTERINE POLYP REMOVAL TAKE?
A: It takes about 15 to 20 min to remove the uterine polyp with Hysteroscopy.

 

Q: WHAT SIZE UTERINE POLYPS SHOULD BE REMOVED?
A: Small polyps; less than 1 cm in size can be managed expectantly as they may regress spontaneously; while those who have heavy bleeding; who are already menopausal or those who have infertility require removal.