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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 5/2010

01-05-2010 | General Gynecology

Management of severe cervical stenosis after conization by detention of nylon threads tied up to intrauterine contraceptive device

Authors: Kaei Nasu, Hisashi Narahara

Published in: Archives of Gynecology and Obstetrics | Issue 5/2010

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Abstract

Purpose

To investigate the efficacy of the insertion of intrauterine contraceptive device (IUCD) tied up with nylon threads for the treatment of cervical stenosis after conization.

Methods

Dilatation of the cervical canal and insertion of IUCD tied up with nylon threads was performed in four patients with symptomatic cervical stenosis after conization. After three courses of regular menstruation, the IUCD with nylon threads was removed.

Results

Total relief of symptoms was achieved in all four patients without any management-related complications. There was no evidence of recurrent cervical stenosis at follow-up in any of the patients.

Conclusions

Detention of nylon threads tied up to IUCD provides an easy and reliable conservative management technique for post-conization cervical stenosis.
Literature
1.
Krebs HB, Pastore L, Helmkamp BF (1993) Loop electrosurgical excision procedures for cervical dysplasia: experience in a community hospital. Am J Obstet Gynecol 169:289–295PubMed
2.
Mathevet P, Dargent D, Roy M, Beau G (1994) A randomized prospective study comparing three techniques of conization: cold knife, laser and LEEP. Gynecol Oncol 54:175–179CrossRefPubMed
3.
Holmskov A, Qvist N, Moller A (1984) Conization of the cervix uteri. Acta Obstet Gynecol Scand 63:587–589CrossRefPubMed
4.
Jones HW 3rd (1995) Cone biopsy and hysterectomy in the management of cervical intraepithelial neoplasia. Bailliere’s Clin Obstet Gynecol 9:221–236CrossRef
5.
Larsson G, Grunsell H, Gullberg B, Svennerud S (1982) Outcome of pregnancy after conization. Acta Obstet Gynecol Scand 61:461–466CrossRefPubMed
6.
Luesley DM, McCrum A, Terry PB, Wade-Evans T, Nicholson HO, Mylotte MJ, Jordan JA (1985) Complications of cone biopsy related to the dimensions of the cone and the influence of prior colposcopic assessment. Br J Obstet Gynecol 92:158–164
7.
Gillbert L, Saunders G, Stringer R (1989) Hemostasis and cold knife cone biopsy: a prospective randomized trial comparing a suture versus non-suture technique. Obstet Gynecol 74:640–643
8.
Larsson G, Gullberg B, Grunsell H (1983) A comparison of complications of laser and cold knife conization. Obstet Gynecol 62:213–217PubMed
9.
Delmore J, Horbelt DV, Kallail KJ (1992) Cervical conization: cold knife and laser excision in residency training. Obstet Gynecol 79:1016–1019PubMed
10.
Hagen B, Skjeldestad FE, Bratt H, Tingulstad S, Lie AK (1998) Carbon dioxide laser conization for cervical intraepithelial neoplasia grade II-III: complications and efficacy. Acta Obstet Gynecol Scand 77:558–563CrossRefPubMed
11.
Kamat AA, Kramer P, Soisson AP (2003) Superiority of electrocautery over the suture method for achieving cervical cone bed hemostasis. Obstet Gynecol 102:726–730CrossRefPubMed
12.
Baldauf JJ, Dreyfus M, Ritter J, Meyer P, Philippe E (1996) Risk of cervical stenosis after large loop excision or laser conization. Obstet Gynecol 88:933–938CrossRefPubMed
13.
Mathevet P, Chemali E, Roy M, Dargent D (2003) Long-term outcome of a randomized study comparing three techniques of conization: cold knife, laser, and LEEP. Eur J Obstet Gynecol Reprod Biol 106:214–218CrossRefPubMed
14.
Grund D, Kohler C, Krauel H, Schneider A (2007) A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis. Fertil Steril 87:1212.e13–1212.e16
15.
Luesley DM, Williams DR, Gee H, Chan KK, Jordan JA (1986) Management of postconization cervical stenosis by laser vaporization. Obstet Gynecol 67:126–128PubMed
Metadata
Title
Management of severe cervical stenosis after conization by detention of nylon threads tied up to intrauterine contraceptive device
Authors
Kaei Nasu
Hisashi Narahara
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 5/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-009-1205-y

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