Preliminary Outcomes of Cervical Cerclage for Shortened Cervix with Decidual Polyp

Abstract

The aim of this study was to elucidate the nature of decidual polyp (DP) and to compare DP outcomes treated with cervical cerclage for a shortened cervix with the outcomes of cases treated with cervical cerclage without DP. The medical records of pregnant women who were complicated with cervical polyps were retrospectively reviewed. Cervical cerclage was considered for those cases with a shortened cervical length of under 25 mm and before 25 gestational weeks. We also reviewed pregnant women who had no cervical polyps, and who underwent cervical cerclage during the same study period, and defined them as the control group. A total of 56 pregnant women with cervical polyps were identified. All of the polyps in the 14 cases that had undergone cervical cerclage migrated into the cervical canal. Of the thirty seven cases with cervical polyps that did not necessitate cervical cerclage, eight women delivered preterm and six of these cases were diagnosed as DP. In all of the women studied, polyp migration was observed in 68.6 %. Cervical cerclage was performed significantly earlier in the DP group than in the control group of 46 cases (p < 0.001; 18.4 weeks vs. 21.4 weeks, respectively). Cervical cerclage is effective in DP cases with a shortened cervical length and polypectomy should not be performed during pregnancy because of the risk of miscarriage.

Endometrioid Carcinomas of the Ovaries and Endometrium Involving Endocervical Polyps: Comprehensive Clinicopathological Analyses

“…Endocervical polyps (ECPs) are benign proliferative lesions of the uterine cervix that typically occur in the endocervical canal [ 1 ]. Stromal overgrowth and reactive epithelial hyperplasia associated with repeated episodes of inflammation, an abnormal local response to increased estrogen levels, and the local congestion of cervical stromal blood vessels are involved in the development of ECP [ 1 , 2 ]. More than half of the patients with ECP are asymptomatic, with the ECPs being discovered incidentally during routine gynecological examinations.…”

“…More than half of the patients with ECP are asymptomatic, with the ECPs being discovered incidentally during routine gynecological examinations. However, symptomatic ECPs manifest as vaginal discharge, leukorrhea, menorrhagia, metrorrhagia, postcoital bleeding, and postmenopausal bleeding [ 2 ].…”