How is a uterine polyp surgery performed? Is it painful?

Patients with uterine polyps may experience symptoms of menstrual irregularity, commonly manifested as excessive menstrual bleeding and prolonged menstrual periods. If the uterine polyps are relatively large or protrude into the cervical canal, they can easily lead to secondary infection, necrosis, irregular bleeding, and foul-smelling secretions. In addition, patients with uterine polyps may experience increased vaginal discharge, which can significantly impact their daily lives. Therefore, timely treatment is necessary.

How is Uterine Polyp Surgery Performed?

The surgical approach for endometrial polyps depends on their size and number.

1. When endometrial polyps are small, less than one centimeter or between one and two centimeters, a diagnostic curettage of endometrial polyps under B-ultrasound monitoring or hysteroscopy can be considered. This approach helps to scrape off the polyps, and pathological examination can be performed afterwards.

2. When there are numerous endometrial polyps, it is not possible to completely remove them through diagnostic curettage. In this case, hospitalization is required for hysteroscopic electrosurgical resection of endometrial polyps. After the surgery, oral medication can be prescribed for recovery according to the doctor's instructions.

If the patient is sensitive to pain during outpatient diagnostic curettage, intravenous general anesthesia can be used to reduce discomfort.

Does Uterine Polyp Surgery Hurt?

Uterine polyps can be classified as endometrial polyps and cervical polyps. Cervical polyps can be surgically removed in a gynecological outpatient setting, which is a minor surgical procedure. Since the cervix has no nerve distribution, there will be no pain sensation, and it is not considered a major surgery. However, if the polyps are located in the endometrium, hospitalization and surgical treatment are required. General anesthesia is administered, and the polyps are surgically removed under hysteroscopy. This hysteroscopic resection of endometrial polyps is also not considered a major surgery, and there will be no pain sensation after anesthesia.

What are the Symptoms of Uterine Polyps?

1. Menstrual Irregularity: Patients with multiple diffuse polyps often experience excessive menstrual bleeding and prolonged menstrual periods, which are related to increased endometrial area and excessive endometrial hyperplasia.

2. Irregular Bleeding: Large polyps or polyps protruding into the cervical canal are prone to secondary infection and necrosis, leading to irregular bleeding and foul-smelling bloody secretions.

3. Abnormal Vaginal Discharge: A few patients with larger polyps may experience increased vaginal discharge. In some cases, there may be traces of blood in the vaginal discharge or minimal vaginal bleeding, especially after sexual intercourse or when straining during bowel movements.