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.
Similar content being viewed by others
References
Krebs HB, Pastore L, Helmkamp BF (1993) Loop electrosurgical excision procedures for cervical dysplasia: experience in a community hospital. Am J Obstet Gynecol 169:289–295
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 54:175–179
Holmskov A, Qvist N, Moller A (1984) Conization of the cervix uteri. Acta Obstet Gynecol Scand 63:587–589
Jones HW 3rd (1995) Cone biopsy and hysterectomy in the management of cervical intraepithelial neoplasia. Bailliere’s Clin Obstet Gynecol 9:221–236
Larsson G, Grunsell H, Gullberg B, Svennerud S (1982) Outcome of pregnancy after conization. Acta Obstet Gynecol Scand 61:461–466
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
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
Larsson G, Gullberg B, Grunsell H (1983) A comparison of complications of laser and cold knife conization. Obstet Gynecol 62:213–217
Delmore J, Horbelt DV, Kallail KJ (1992) Cervical conization: cold knife and laser excision in residency training. Obstet Gynecol 79:1016–1019
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 77:558–563
Kamat AA, Kramer P, Soisson AP (2003) Superiority of electrocautery over the suture method for achieving cervical cone bed hemostasis. Obstet Gynecol 102:726–730
Baldauf JJ, Dreyfus M, Ritter J, Meyer P, Philippe E (1996) Risk of cervical stenosis after large loop excision or laser conization. Obstet Gynecol 88:933–938
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 106:214–218
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
Luesley DM, Williams DR, Gee H, Chan KK, Jordan JA (1986) Management of postconization cervical stenosis by laser vaporization. Obstet Gynecol 67:126–128
Conflict of interest statement
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nasu, K., Narahara, H. Management of severe cervical stenosis after conization by detention of nylon threads tied up to intrauterine contraceptive device. Arch Gynecol Obstet 281, 887–889 (2010). https://doi.org/10.1007/s00404-009-1205-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-009-1205-y