Primary Care Sheffield



Cervical Polyps Protocol

Definition

• A cervical polyp is a common, usually benign growth, on the cervix and is often found at routine speculum examination. A polyp may occasionally cause IMB, PCB or prevent a smear test being taken.

Exclusions

• Cervical cancer

General Points

• 1cm wide

- Unable to remove in primary care

-

Technique for removal of cervical polyp

• Consent: removal of polyps is not a painful procedure and is similar to a smear test.

• Routine speculum examination

• Grasp polyp at base or sponge-holding forceps, twist clockwise with gentle traction (several 360 degree twists may be required)

• Apply silver nitrate to base, may need to use several sticks

• Send polyp for histology

• Advise the patient that she may experience light bleeding and mild period cramps for up to 24hrs after removal.

• Practices should have resuscitation equipment and atropine available in case of a vagally stimulated bradycardia, (as for IUCD insertion).

Outcome

Histology returned to referring GP

• Histology: normal benign cervical polyp - no further action required.

• Histology: reveals an endometrial polyp - USS advised to ensure no further

endometrial polyps are present.

Referral Information

Indications for referral to secondary care

• If the polyp base is >1cm wide or suspected endometrial polyp or unable to remove

Investigations prior to referral

• Cervical smear (if due)

• USS if suspected prolapsing endometrial polyp

• Information to include in referral letter

• Any current other hormonal treatment

• Smear history (including last smear & result)

• Relevant past medical/surgical history

• Current regular medication and allergies

References







Interpractice Cervical Polyp Removal Form

|First Name: |Surname: |

|DOB: |NHS No: |

|Address: |Tel No: |

|Interpreter required? Yes/ No |Preferred clinic: |

| | |

|If yes, language:       | |

|Referrer Name: |Practice: |

Referral Information

Investigations prior to referral

• Cervical smear (if due)

• USS if suspected prolapsing endometrial polyp

• Information to include in referral letter

• Any current other hormonal treatment

• Smear history (including last smear & result)

• Relevant past medical/surgical history

• Current regular medication and allergies

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download