Correction of severe postconization cervical stenosis by means of bipolar office hysteroscopy

Abstract:

Objective: To describe the use of office hysteroscopy as a new tool for the treatment of severe postconization cervical stenosis. Material and methods: Retrospective study (Canadian Task Force classification III) in a Tertiary General Hospital. 18 patients with severe cervical stenosis after cervical conization because of cervical dysplasia. The procedure was performed by means of office hysteroscope. After local anesthesia was administered, the diagnostic hysteroscope was advanced under visual and ultrasonic guidance. Once the uterine cavity was reached, the hysteroscope was withdrawn, and the bipolar electrode resected protrusions and scarring along the endocervical canal. Two months later, patients were scheduled to assess clinical outcome and to repeat hysteroscopy to assess cervical patency. Results: The procedure was successful in 17 of 18 patients (94.4%) in the first trial. The other patient needed a second procedure. The mean operation time was 18.0 (67.4) minutes. Repeat hysteroscopy was successful in all patients. Conclusions: Hysteroscopic cervical resection is a safe and effective treatment for cervical stenosis.

Año de publicación:

2018

Keywords:

Fuente:

google