What Is a Hysteroscopic Polypectomy?

Hysteroscopic polypectomy is a surgery where tissue growths or polyps found in the uterus are removed. Polyps are abnormal tissue growths that extend into the internal cavities of the body. The majority of these growths are not cancerous; however, some of them are pre-malignant or malignant. Uterine polyps are commonly observed in elderly women especially those that have gone through menopause. Depending on the type of the polyps, they can reach big sizes, applying pressure to neighboring organs, impeding blood flow, and causing a number of uncomfortable symptoms.

What Conditions Are Treated with the Hysteroscopic Polypectomy Procedure?

A hysteroscopic polypectomy and myomectomy are procedures that can effectively address uterine polyps and uterine fibroids, respectively.

• Uterine polyps: These are growths that can arise from the endometrium, which is the lining of the uterus that’s normally shed during each female’s monthly menstrual cycle. These growths are also known as endometrial polyps and they may develop on a thin stem or at a broad base in the uterine cavity. Their sizes can be from very small to attainable sizes that are nearly as big as a golf ball.
• Uterine fibroids: Medically termed leiomyomas, can also vary in size, from very small to as large as a grapefruit. These fibroids can form in various locations within the uterus, including the muscular wall and the outer surface. However, only those fibroids that grow into the uterine cavity (specifically submucosal and intracavitary fibroids) are amenable to treatment through hysteroscopic myomectomy.

These benign growths may lead to a range of symptoms, such as heavy menstrual bleeding, pelvic discomfort, and pressure, and they can also have implications for fertility.

How Does One Know That They Need Hysteroscopic Polypectomy?

Unfortunately, many people with polyps go through their entire lives without knowing that they have polyps. It is recommended that they undergo a screening test upon the onset of symptoms. Polyps are often discovered while the patient is being screened for an unrelated illness. Many individuals opt for a screening test to determine the presence of polyps, subsequently leading to a polypectomy for their removal.

Hysteroscopic Polypectomy Cost in India

Numerous elements impact the expenses associated with Hysteroscopic Polypectomy Cost in India. The major driver of cost is the patient’s medical condition. Hysteroscopic Polypectomy Cost in India can cost anywhere from₹25,000 to ₹50,000 (300 USD to 600 USD).

Hysteroscopic Polypectomy Cost in Different Cities in India

Please keep in mind that the cost of the treatment will vary depending on various factors. Below are the factors that can affect the cost of the treatment.

Factors that Affect Hysteroscopic Polypectomy Cost in India

Here are several key factors that influence the expenses associated with Hysteroscopic Polypectomy Cost in India:

Hospital or clinic’s location: The cost of care in a private hospital or clinic is often higher than that in a public hospital.

Medication costs: Certain medicines can influence the overall cost of Hysteroscopic Polypectomy in India.

Patient Condition: The complexity of the patient’s overall health can affect the duration of treatment, impacting the cost. 

Duration of treatment: Longer treatment courses involving multiple visits can lead to higher cumulative costs.

The expertise and experience of medical professionals: Urologists with extensive experience and recognition often command higher fees, contributing to the treatment cost.

How Is a Hysteroscopic Polypectomy Procedure Carried Out?

The preparation required for a polypectomy is influenced by the location of the polyp and the surgical method employed. In cases involving uterine polyps, local anesthesia is administered, which does not necessitate any further preparatory steps. The hysteroscopic polypectomy procedure commences with the incision of the polyp from one free edge to the other, ensuring that the removal is executed without damaging the myometrium. Various instruments are utilized during this procedure, including:

– Mechanical instruments

– Knife and loop electrodes

– Biopsy forceps, grasping forceps, and scissors

– Morcellators

– Hysteroscopic polyp snare

– Versa point bipolar electrodes

A scope is introduced into the vagina via the cervix and uterus, allowing the physician to obtain a clear visualization of the polyps. The physician may select from several removal techniques as outlined below.

• Cold forceps polypectomy: It is a technique employed for the excision of relatively small polyps. This method utilizes forceps to detach the polyp, while a wire assists in extracting the polyp that extends into the surrounding tissue. 
• Hot forceps polypectomy: this procedure shares similarities with the cold technique; however, it involves the use of electrocautery to cauterize any residual polyp tissue, thereby minimizing the risk of subsequent bleeding. 
• Snare polypectomy: It involves the use of a looped snare to grasp and excise polyps larger than 1 cm. This snare can operate in either a hot or cold manner to eliminate any remaining polyp tissue. In cases where the polyp is significantly large, a more extensive incision may be necessary for its removal.

Best Hospitals That Provide Hysteroscopic Polypectomy Procedures in India

Indian hospitals that provides the best treatment for hysteroscopic polypectomy are as follows: 

• Medanta-The Medicity, Gurgaon
• Artemis Hospital, Gurgaon
• Apollo Proton Cancer Centre, Chennai
• Fortis Escorts, New Delhi
• Fortis Memorial Research Institute, Gurgaon
• Marengo Asia Hospital, Faridabad
• Indraprastha Apollo Hospital, New Delhi
• Max Super Specialty Hospital, Saket