• 21 MAR 17
    • 0

    Cervical conization, diagnostic and therapeutic treatment of cancer

    Cervical Conization surgery is an operation to remove a sample of abnormal tissue from the cervix.  This gynecological surgery is performed on the cervix, which is the lower part of the uterus that opens into the upper part of the vagina.

    Cervical conization is a procedure with two purposes:  it’s diagnostic (it can rule out the presence of cancer) as well as therapeutic, therefore it is a preventive treatment of cervical cancer.  It is used in moderate and severe dysplasias (CIN II and CIN III) or in very early stage cervical cancer in women who want to preserve their ability to have children.  These lesions result from persistent Human Papillomavirus (HPV) infections, especially high-risk strains acquired with unprotected sex.

    Conization means a cone-shaped excision is made of an external part of the cervix and an inner part of the endocervix.  The technique is painless with local, regional or general anesthesia with the most used procedures being LEEP or Laser Conization.

     

    Risks of cervical conization surgery

    Cervical intraepithelial neoplasia (CIN) treatment is very successful and most women will not have problems, however a small number of patients will need further treatment.  It is important for the gynecologist to regularly monitor progress after treatment.

    The typical surgical complication is bleeding that is controlled by coagulation.  If a large cone is made, the neck of the womb may weaken and must be checked during pregnancy to prevent premature delivery.

     

    Recovery after cervical conization

    This operation requires rest the first week and no sports playing for two weeks.  Avoid submerging in water or using tampons for one month; patients should not have internal sexual intercourse during the first four weeks.  Bleeding is sparse or moderate for ten days.

    The importance of the HPV Vaccine in these cases should be taken into account.  The goal of vaccination in these women is to reduce the risk of new infections, HPV lesions and also as a means to curb virus activity; as the reduction of tobacco use and the refrain from utilizing hormonal treatments do.  All the means we have to increase the general and specific immunological defenses against HPV will be considered carefully and taken into account.

    Finally, it is essential to remember the importance of a urethral meatus balanoscopy with or without an HPV test for a male partner, as well as the use of condoms for the first six months, provided that the tests to detect the virus come out negative.

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