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Subject: Cervical Polyp Removal
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Kogan’s endocervical speculum
Cervical biopsy forceps
Removal of polyps is usually indicated to prevent irritation, vaginal discharge, and bleeding.
During pregnancy, the cervix is highly vascularized, and polyps should be observed if they are stable and appear benign. They should be removed only if they are causing bleeding.
Severe bleeding disorders
PEARL: When the base is identified, the endocervical speculum may be closed on the polyp and used to remove it.
PITFALL: Be sure to identify the location of the base of the polyp to exclude the possibility of an endometrial polyp, which may produce extensive bleeding. If the pedicle extends too deeply to be easily visualized, a Kogan endocervical speculum and colposcopic magnification are often helpful.
PITFALL: If multiple polyps, irregular bleeding, or ongoing tamoxifen therapy is noted, it may be prudent to remove the polyps while performing dilatation and curettage.
Cooper Surgical, Shelton, CT (phone: 800-645-3760 or 203-929-6321; www.coopersurgical.com)
Olympus America, Inc., Melville, NY (phone: 800-548-555 or 631-844-5000; www.olympusamerica.com)
Utah Medical Products, Inc., Mid-vale, UT (phone: 800-533-4984 or 801-566-1200; www.utahmed.com)
Wallach Surgical Devices, Inc., Orange, CT (phone: 203-799-2000 or 800-243-2463; www.wallachsurgical.com)