Technical Notes and Tips: Removal of Fibro-Epithelial Anal Polyps

Fibro-epithelial anal polyps can sometimes become a nuisance if they become enlarged and repeatedly prolapse. Removal under general anaesthetic is easy, but under local anaesthetic it can be difficult to obtain haemostasis after the polyp has been removed. If the polyp is first infiltrated with local anaesthetic, two rubber bands can be applied to the polyp using suction banding equipment and an Eisenhammer retractor. The polyp is then cut off with scissors just beyond the bands, and no bleeding occurs. The bands slough off in due course. The procedure can be carried out in out-patients.