Conization

Conization is a medical procedure that involves the removal of a cone-shaped piece of tissue from the cervix. The procedure is typically performed to diagnose or treat cervical dysplasia or early-stage cervical cancer.

Procedure

The conization procedure can be performed using a cold knife, laser, or a loop electrosurgical excision procedure (LEEP). The choice of method depends on the patient's condition and the physician's preference.

Cold Knife Conization

In a cold knife conization, a scalpel is used to remove a cone-shaped piece of tissue from the cervix. This method allows for a clean, precise cut but may require general anesthesia and has a higher risk of bleeding compared to other methods.

Laser Conization

Laser conization uses a laser beam to make the cut. This method causes less bleeding than cold knife conization and can be performed under local anesthesia. However, it may not be suitable for larger lesions.

Loop Electrosurgical Excision Procedure (LEEP)

In a loop electrosurgical excision procedure (LEEP), an electrically charged wire loop is used to cut out the tissue. This method is less invasive and can be performed under local anesthesia. It is also associated with less bleeding compared to cold knife conization.

Risks and Complications

Like any surgical procedure, conization carries some risks. These may include infection, bleeding, and complications related to anesthesia. There is also a risk of cervical stenosis, which is the narrowing of the cervix that can affect fertility.

Aftercare

After the procedure, patients may experience some discomfort and vaginal bleeding or discharge. They are advised to avoid sexual intercourse, tampon use, and douching until the cervix has healed. Follow-up visits are necessary to monitor healing and to check for any signs of recurrence.

See Also

• Cervical dysplasia
• Cervical cancer
• Cold knife conization
• Laser conization
• Loop electrosurgical excision procedure (LEEP)

Conization Resources
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