Conization
Conization is to surgically remove a portion of the cervix. The part taken out is in the shape of a cone, its base is more or less wide (1 to 2 cm), height is an average of 15 mm.
It is performed most often at the existence of cervical abnormalities.Without treatment, these lesions may develop after several years into cancer of the cervix uteri, which justifies the removal of a portion of the latter.The intervention has two main aims.
-It confirms the exact nature of the lesion and its extent on the surface of the cervix and into the portion of the cervical canal which was removed.-It is also therapeutic, that is to say, it normalizes the cervix and makes evolution to cervical cancer extremely rare. WHAT IS THE OPERATION?
The procedure can be performed under general anesthesia or locoregional (epidural or spinal anesthesia) or local depending on your situation and your preference.Conization is done by natural means. It can be done using a scalpel, an electrical loop or a laser.Using an electric loop is the most common.ARE THERE ANY PROBLEMS OR RISKS?
Conization is a procedure that often involves little risk. The main risk is bleeding. The risk of bleeding are in the early hours, and during the 15 days after surgery.In the occurrence of continuous bleeding you must consult your doctor as soon as possible. This may require the placing of a buffer by a wick (gauze) vaginally.In rare cases, bleeding may require reoperation. Conization causes no postoperative pain, possible discomfort may evoke painful transition.The effects on fertility are scarce. There is a slight increased risk of preterm delivery in subsequent pregnancies.Belatedly, a narrowing (stenosis) of the cervix may occur and prevent the normal flow of periods and subsequent monitoring of the cervix.This stenosis may require a simple dilatation and rarely further surgery. Rarely, it can cause difficulties in opening of the cervix during childbirth Some risks can be furthered by your state, your background or treatment taken before the operation. It is imperative to inform the doctor about your medical history (personal and family) and all treatments and medications you take.IN PRACTICE
-It is recommended that you wait about a month after surgery to resume sexual activity.-Avoid long trips and hard sports activities within the 3 weeks that follow.-Avoid baths for 15 days. Showers are no problem.-Histological examination of the piece of conization is very thorough. - The result of this analysis will be communicated by your doctor and possibly commented on at the post-operative visit.-If abundant bleeding after periods appear after you return home, it is essential to consult in emergency and / or inform your doctor.-It is essential to see you in consultation postoperatively.
Victor Hugo