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
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