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Cervical conization is nothing more than a gynecological and surgical procedure that is performed in women whose cytological examination revealed abnormalities. The name itself comes from the word “conus” derived from Latin and meaning a cone. This lump reflects the actual fragment of the uterus that is removed during the cervical conization procedure. Cervical conization is an examination performed under general anesthesia, and very often the doctor also takes a section of the diseased tissue in order to perform a histopathological examination. In what other cases is the cervical conization procedure performed and is it invasive?
What are the indications for cervical conization?
Typical indications do cervical conization there are situations in which the cytology result is disturbing and may suggest inflammation or a developing disease process. Among indications to perform the procedure cervical conization also includes squamous epithelial dysplasia, abnormalities in the obtained image diagnosed on the basis of a colposcopic examination (cervical endoscopy, which allows for a thorough examination of its interior). Women who develop cervical precancerousness, or minor grade changes in medical terminology called CIN1 and CIN2, may also be referred for this procedure. Cervical conization it allows the gynecologist to remove diseased areas of the uterine wall by excision. Thanks to such activities, the precancerous lesion can be completely eliminated, but there is a risk of dysplasia recurrence.
Cervical conization surgery absolutely cannot be carried out in a situation where the patient is currently undergoing menstrual bleeding, and also when the uterus is inflamed.
Check: Two methods of describing the cytology
How is the cervical conization procedure performed?
Most often, the anesthesiologist, after an interview with the patient and no contraindications, subjects the patient to full anesthesia (anesthesia). Then the anesthesia is administered intravenously or lumbar. This type of anesthesia allows you to completely eliminate the feeling of pain while it is being performed cervical conization and deprives the patient of consciousness. Thanks to this, she is not exposed to unpleasant emotions related to the procedure cervical conization. As for the administered dose of the drug used under general anesthesia, it largely depends on the age and weight of the patient. Young patients are given a drug that abolishes awareness and pain sensation for a short time, while older patients are given long-acting drugs. The patient’s health and whether she suffers from cardiovascular diseases are also of great importance. In any case, with the run cervical conization treatment the anesthetist who will also administer the anesthetic should be present. The procedure itself is not performed on the operating table, but in the office, on a gynecological chair.
During the procedure, the gynecologist uses a disinfectant, and his main tool is an electrosurgical loop, scalpel or laser. These tools are designed to allow the clinician to accurately cut the tissue cone from cervix (at the level of the vagina). When the gynecologist cuts the diseased tissue, he will perform a curettage cervix, and then the taken sample will be sent for histopathological examination. Sometimes it is necessary to put on sutures, but you do not have to worry about them later, because doctors usually use their soluble form for this purpose. The entire procedure takes about 30 minutes, after which the patient is awakened and can leave the office.
Cervical conization – what next? What does convalescence look like?
The patient will certainly experience unpleasant pains and transient contractions in the lower abdomen for about a few hours, which may also appear on the next day. The best option is to take a sick leave, because you will need to rest and create conditions for the scars to heal after the procedure. Convalescence takes about 3-4 weeks. Wall cervix usually heals properly. Cervical conization treatment does not affect the process of getting pregnant.
Cervical conization – what can not be done after the procedure?
You should definitely refrain from sexual contact for some time, as it may disturb the healing processes and lead to the development of inflammation, which in this situation would be highly undesirable. The same applies to tampons – they must not be used after cervical conization treatment. Patient surrendered cervical conization must strictly follow the rules of intimate hygiene, as this will facilitate the convalescence process. After the procedure, there may be slight discharge or spotting from the vagina, which should be communicated by the doctor before the procedure. They can last up to 3 weeks. Slightly heavy bleeding may appear about 7-10 days after the procedure, which will be evidence of the regenerative processes of the uterine wall tissue.