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Re: endometrial polypsFrom: D. Ashley Hill, M.D. (anonymous@obgyn.net)Wed, 31 Dec 1997 16:08:42 -0600 (CST)
At Wed, 31 Dec 1997, K wrote: > >After an endometrial biopsy and sonogram, it was determined that my >What are the pros and cons of doing nothing, rather than having the >polyp removed during hysteroscopy? Kathy- On the one hand, removal of the polyp is a straightforward procedure that does not necessarily involve general anesthesia (I do many under epidural anesthesia), that will resolve the annoying bleeding and rule out the very unlikely possibility of cancer developing in the polyp. On the other, there is really no such thing as a "minor" procedure, as all surgical procedures carry some risks. Thankfully complications during hysteroscopy are unusual. They include perforation of the back wall of the uterus, which usually means having to come back a few months later after the hole seals and repeating the procedure. Another complication that would be unusual with a polypectomy would be fluid overload from the fluid used to expand the uterus. It comes down to ruling out cancer (which is unusual in polyps) and resolving the bleeding vs undergoing removal via a relatively safe, outpatient procedure. I do a lot of these, and patients are always happy with the outcome, as they leave the hospital that night and are almost always back doing their regular activities in 12-24 hours. Good luck with your decision.
-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, FL http://www.gate.net/~dahmd
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