Hysteroscopic Polypectomy

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What is Hysteroscopic Polypectomy?

Here’s a complete and easy-to-understand explanation of Hysteroscopic Polypectomy, covering all the points you asked:

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What is Hysteroscopic Polypectomy?

Hysteroscopic polypectomy is a minimally invasive surgical procedure used to remove polyps (abnormal growths) from the lining of the uterus (endometrium). It is done using a hysteroscope, a thin, lighted tube inserted through the vagina and cervix into the uterus.

Types of Hysteroscopic Polypectomy

While the basic technique remains the same, there are two main approaches:

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Diagnostic Hysteroscopy with Polypectomy – done to identify and remove polyps in one procedure.

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Operative Hysteroscopic Polypectomy – when polyps are larger or require special instruments (like resectoscopes or morcellators).

Symptoms Indicating Need for Hysteroscopic Polypectomy

These procedures are recommended for patients experiencing:

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Abnormal uterine bleeding

(heavy, irregular periods)

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Bleeding between periods
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Postmenopausal bleeding
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Infertility or difficulty conceiving
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Recurrent miscarriages

Risk Factors for Endometrial Polyps (Leading to Polypectomy)

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Causes of Uterine Polyps

Overgrowth of the uterine lining due to hormonal imbalance

Chronic inflammation of the endometrium

Unknown reasons in many cases (idiopathic)

How to Prevent Uterine Polyps

While not always preventable, you can reduce risk by:

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Maintaining a healthy weight

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Managing hormone levels

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Regular gynecological checkups, especially after age 40

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Controlling conditions like diabetes and hypertension

Treatment of Hysteroscopic Polypectomy

The procedure itself is the treatment for uterine polyps.

 

It is outpatient-based and usually requires no hospital stay.

 

It can be done under local, regional, or general anesthesia depending on the size and number of polyps.

 

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Procedure of Hysteroscopic Polypectomy

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Preparation –

Fasting and pre-anesthesia check if needed.

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Insertion of Hysteroscope –

Through the vagina into the uterus.

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3Saline/CO2 Distension -

To expand the uterus for clear viewing.

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Polyp Removal -

Using instruments like scissors, loops, or morcellators.

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Recovery -

Brief observation post-procedure, mild cramping/spotting expected.