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Cervical conization is done to remove a cone-shaped piece of tissue from the cervix. The cervix is located at the top of the vagina and is the entryway into the uterus (womb).
Reasons for Procedure
A cervical conization is used to diagnose and to treat
or precancerous changes in the cervix. The procedure takes place after a woman has had abnormal
Pap smears. Pap smears are screening tests to detect abnormal, pre-cancerous, and cancerous cells in the cervix.
A speculum will be inserted into the vagina, similar to a Pap smear. It will hold your vagina open and allow instruments to pass easier. Your doctor will use a knife, laser, or heated loop to remove a cone-shaped piece of tissue from the cervix. If there are abnormal cells, they will also be removed. Self-absorbable sutures may be placed in the cervix to control bleeding.
The tissue will be sent to a lab to test for cancer. The test results will be available within a week.
How Long Will It Take?
The procedure will take less than an hour.
How Much Will It Hurt?
Anesthesia will prevent pain during this procedure. After the procedure, you may have some discomfort. You can take pain relievers to help manage any discomfort.
At the Care Center
You will rest in a recovery area until the anesthesia wears off. When you are awake and aware, you will be able to go home.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
Washing your hands often and reminding visitors and healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incisions
When you return home, do the following to help ensure a smooth recovery:
You may have some bleeding or discharge from your vagina for several days postsurgery. A sanitary napkin or pad may be worn. Tampons should not be used for a month or more after the surgery.
American College of Obstetricians and Gynecologists. Management of abnormal cervical cytology and histology.
Cervical Cancer: Surgery. American Cancer Society website. Available at: ...(Click grey area to select URL) Updated August 2010. Accessed November 18, 2010.
Fernandez-Montoli ME, Baldrick E, Mirapeix G, et al. Conservative treatment in gynaecological cancer for fertility preservation. Cochrane Gynaecological Cancer Group.
Cochrane Database of Systematic Reviews. 2010;(8).
Morris M, Mitchell MF, et al. Cervical conization as definitive therapy for early invasive squamous carcinoma of the cervix.
Gynecol Oncol. 1993;51(2):193-196.
6/3/2011 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.