Cervical polyp laser surgery effect

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on February 08, 2025
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The surgery for cervical polyps is a common minor operation in the gynecological outpatient operating room. The treatment for cervical polyps can be conducted using laser methods or through traditional surgical removal. Currently, each of these methods has its advantages and disadvantages. Laser surgery for cervical polyps is very effective, not only speeding up the operation time and reducing damage but also promoting a quicker recovery for patients. However, it is important to note that not all patients with cervical polyps are suitable for laser surgery. Patients with cervical polyps need a further evaluation in the gynecological clinic to determine if they are suitable for laser treatment.

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Obstetrics and Gynecology
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Can cervical polyps become cancerous?

Cervical polyps can become cancerous, but the rate of malignancy is very low, around 1%. Cervical polyps are caused by chronic inflammation of the cervix, which leads to the hyperplasia of local connective tissue, forming pink, tongue-shaped growths that sometimes have a stalk and can bleed upon contact. This condition is caused by inflammation, but if there is also an HPV virus infection, there is a potential for cancerous changes. Therefore, the causes of cervical cancer and cervical polyps are different. Cervical cancer is caused by infection with the human papillomavirus (HPV), while cervical polyps are caused by inflammation. If cervical polyps are combined with an HPV infection, cancerous changes might only occur if the infection persists for more than two years.

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Is it okay not to have surgery for cervical polyps?

When women have cervical polyps, surgical treatment is required regardless of the size of the polyps, and not undergoing surgery is not an option. Firstly, the texture of cervical polyps is relatively fragile, which can easily lead to bleeding upon contact, such as bleeding after intercourse. Some women with vaginal inflammation can infect the cervical polyps, leading to inflammatory secretions, such as purulent secretions or secretions containing blood. If cervical polyps are not surgically removed, they may continue to grow, and they have a characteristic of being multiple. For instance, the occurrence of multiple cervical polyps can also affect the normal menstrual cycle of women. Some women with cervical cancer or endometrial cancer can also present polyp-like growths, and from the appearance, it is not possible to distinguish whether the growths are malignant or benign. Therefore, generally, once cervical polyps are found, they should be surgically removed, and a histological examination should be performed after surgery to rule out the possibility of malignant changes.

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Does cervical polyp require surgery?

Cervical polyps require surgery. Patients with cervical polyps may experience contact bleeding during intercourse and irregular bleeding. Therefore, if there are cervical polyps, surgery is needed for treatment. Generally, polyps can be removed during an outpatient procedure called cervical polypectomy. After the surgery, the removed tissue is sent for pathology analysis. Most of these polyps are benign, but there is a high likelihood of recurrence after surgery. Therefore, if you have cervical polyps, it is recommended to have surgery to remove them as soon as possible. It is difficult to achieve treatment goals with medication or other methods; surgery is needed to remove them. Thus, it is advisable to undergo surgery for cervical polyps as early as possible, as the surgery is inevitable.

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Why does cervical polyp bleed?

Cervical polyps in women are prone to bleeding, which is somewhat related to the causes of their formation. Most cervical polyps occur due to infection of the cervix, leading to proliferative changes. The tissues in these polyps lack muscle fibers, so when they bleed due to contact, there is no way to constrict and close off the bleeding vessels. Furthermore, cervical polyps are soft and fragile, easily bleeding upon contact. Additionally, the surface of cervical polyps is susceptible to invasion by external pathogens, prompting infections, which can exacerbate the occurrence of vaginal bleeding in women.

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Symptoms of cervical polyps

Most women with cervical polyps may not show any clinical symptoms. When the size or number of polyps increases, resulting in an enlarged surface area of columnar epithelium, the amount of secretion may increase, manifesting as thick and abundant vaginal discharge. When an infection coincides, the discharge can appear purulent. Due to the fragile texture of the polyp’s surface, it can easily bleed when touched, which is why some women might experience vaginal bleeding during gynecological examinations or after intercourse. In some women, cervical polyps are a manifestation of cervical cancer, which can then lead to uncontrollable vaginal bleeding and foul-smelling vaginal discharge. If it progresses to a late stage, signs of metastasis, such as cancer spreading to the bladder causing hematuria, may occur.