Mini-hysteroscopy for a married virgin with a tubular ectocervical giant polyp combined with psychosexual dysfunction: a case report

Abstract

A 32-year-old virgin presented with psychosexual dysfunction and a mass in the vulva. The mass arose from the cervix with a thin pedicle and it was 6 × 1.5 cm. The mass protruded outside of the hymen, it had a canal inside and an opening at the distal end, and it had a genital-like appearance. A mucosal fold was found in the tubular lumen. Fibrous smooth muscle was observed in the tubal wall, which was covered by squamous and endometrial glandular epithelium on each side. A cervical giant polyp with a canal inside the polyp might be differentially diagnosed from prolapsed genitals and abnormal sexual development. Polypectomy by mini-hysteroscopy was effective for alleviating psychosexual dysfunction caused by the mass in this patient.