hysteroscopic polypectomy

Endometrial polyps are relatively common, especially as women get older. They can be considered as a thickening of the lining of the womb in such a way that it forms a mushroom-like fold which projects into the uterine cavity. Polyps can cause heavy periods (menorrhagia), bleeding between periods (intermenstrual bleeding), bleeding after sexual intercourse (postcoital bleeding), postmenopausal bleeding or an excessive vaginal discharge which is often blood stained. Polyps can also be asymptomatic, when they are usually detected as an incidental finding on pelvic ultrasound scan done for another reason.

Endometrial polyps are usually benign, but to be sure, they should be removed. Although this can be attempted using a blind technique such as a D&C (dilatation and curettage), polyps are easily missed and the procedure may have to be repeated. In contrast, polypectomy under hysteroscopic control means that the polyp is clearly visualised to ensure that it is removed completely.

Hysteroscopic polypectomy is a day-case procedure, and can even be done under local anaesthesia if preferred.