Intérêt de la cryothérapie dans la prise en charge des ectopies cervicales symptomatiques

Riehl, C.; Ramanah, R.; Desmoulin, G.; Violaine, B.

doi:10.1016/j.gyobfe.2006.01.030

Cited by 9 publications

(12 citation statements)

References 13 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study supports the results of other researchers who introduced cryotherapy as an acceptable modality for managing symptomatic CE. 1,2,17,18 They reported that cryotherapy had the highest efficacy for reducing abundant leucorrhoea, but the lowest success rate for patients with abundant leucorrhea and recurrent cervicitis, which was similar to our findings. They declared that delay in treatment declined the success rate.…”

Section: Discussionsupporting

confidence: 91%

“…Cervical ectopy (CE) can be associated with chronic or recurrent symptoms of cervicitis like leucorrhea, vaginal itching or pruritus, dyspareunia, pelvic pain, and post-coital bleeding, which cause patients to visit a doctor repeatedly. 1,2 CE is distinguished by an erythematous and inflamed-like region at the external ostium, which forms due to the eversion of the endocervical columnar mucosal layer towards the outside. CE may be silent and asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, the importance of ablation of the ectopic zone has been stated to achieve several expectations including relieving symptoms of chronic cervicitis and prevention or treatment of CIN particularly in low-income countries, as they lack the requisite infrastructures for triage, diagnosis, and management. 2,5 Various methods have been proposed for damaging the transformation zone. 6-9 Cryotherapy is an old and common procedure first introduced in 1960.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cryotherapy as a Method for Relieving Symptoms of Cervical Ectopy: A Randomized Clinical Trial

Agah¹,

Sharifzadeh²,

Hosseinzadeh³

2019

Omna Med J

View full text Add to dashboard Cite

Objectives Benign cervical ectopy (CE) may cause chronic or recurrent symptoms leading to women repeatedly being referred to gynecology clinics. We aimed to present a safe and effective method for relieving symptoms of CE. Methods This double-blind clinical trial was conducted among 164 women with CE who complained of persistent or recurrent symptoms of cervicitis in the last six months. Patient’s demographic data, medical history, symptoms, and vaginal examination results were recorded. Normal co-test or Pap smear was required to enter the study. Participants were divided into two groups; the intervention group received cryotherapy and the control group underwent cryo-placebo (inserted the probe without true cryotherapy). The outcomes including improvement of symptoms and CE were monitored one, three, and six months later. Results The prevalence of symptoms in the two groups were not significantly different ( p > 0.050). Symptom improvement was significantly higher with cryotherapy: vaginal discharge ( p = 0.006), itching ( p < 0.001), dyspareunia ( p = 0.005), post-coital bleeding ( p = 0.023), and pelvic pain ( p = 0.009). If the symptoms did not disappear, their severity was lower after cryotherapy, comparatively ( p < 0.050). Examination showed more improvement of CE following cryotherapy ( p < 0.001). Cryotherapy showed no remarkable side effects and was associated with more satisfaction ( p < 0.001). Conclusions Cryotherapy is a safe, effective, fast-acting, and cost-benefit therapy that can be considered for the treatment of symptomatic CE.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cryotherapy as a Method for Relieving Symptoms of Cervical Ectopy: A Randomized Clinical Trial

Agah¹,

Sharifzadeh²,

Hosseinzadeh³

2019

Omna Med J

View full text Add to dashboard Cite

show abstract

“…Cervical ectopy can cause abundant leucorrhoea, post-coital bleeding, recurrent cervicitis and pelvic pain, which are very bothersome to women. In such cases, cryotherapy is a widely used treatment option for symptomatic relief because it is inexpensive and easy to perform [ 4 ]. Hence, the aim of this study was to determine the success rates and clinical outcomes of cervical cryotherapy applied to cervical ectopy in terms of symptomatic relief.…”

Section: Introductionmentioning

confidence: 99%

Is Cryotherapy Friend or Foe for Symptomatic Cervical Ectopy?

et al. 2015

View full text Add to dashboard Cite

Objective: To evaluate the success rates and clinical outcomes of cervical cryotherapy applied to cervical ectopy for symptomatic relief. Subjects and Methods: A total of 124 women who underwent cryotherapy for symptomatic treatment of cervical ectopy were included in this study. Indications for treatment were: abundant leucorrhoea (n = 114), post-coital bleeding (n = 22), recurrent cervicitis (n = 30) and pelvic pain (n = 12). Cryotherapy consisted of the use of carbon dioxide at -89°C to destroy the ectopic columnar epithelium by freezing, and it was transmitted to the ectopy through a flat cryoprobe. No routine anaesthesia or analgesia was administered. All patients were questioned about the status of their symptoms after 6 weeks of treatment. Results: The highest success rate was obtained in patients with abundant leucorrhoea (n = 102; 89.5%), while the lowest success rate was achieved in subjects with pelvic pain (n = 7; 58%). After treatment, no severe complications were observed, except for hydrorrhoea for a few days. Success rates were 9 times lower in patients who had 3 or more cervicitis episodes per 6 months. Conclusion: In this study, the success rate ofcryotherapy was highest in patients with abundant leucorrhoea and lowest in patients with pelvic pain and recurrent cervicitis. Hence, we recommend that clinicians perform the procedure in such patients without much delay.

show abstract

“…Thus ectropion would, by exposing this epithelium, aid an infective process [ 10 , 15 , 19 ]. Several treatment modalities have been used for cases of ectropion including use of antibiotics, microwave tissue coagulation, laser coagulation, infrared light, an interferon-alpha suppository, electrocautery or cryotherapy [ 2 , 12 , 13 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Cervical Ectropion and Intra-Uterine Contraceptive Device (IUCD): a five-year retrospective study of family planning clients of a tertiary health institution in Lagos Nigeria

et al. 2014

View full text Add to dashboard Cite

BackgroundCervical ectropion (also known as cervical erosion) is a common finding on routine pelvic examination during the fertile years. The decision to treat or not remains controversial. According to studies in support of routine treatment of cervical erosion, there is a possible relationship between squamous metaplasia and squamous cell carcinoma of the cervix. To determine the prevalence of cervical ectropion and associated risk factors among clients with intra-uterine contraceptive devices (IUCDs) attending a family planning clinic of a tertiary health institution in Lagos, Nigeria.MethodsA 5-year retrospective study was conducted by assessing existing clinic records from years 2007–2011. Clients with IUCDs undergo routine pelvic examination during check-up visits. A total of 628 clients’ records were seen within the stated time frame. This study was approved by the ethical committee of the Lagos State University Teaching Hospital (LASUTH) and the collected data were analyzed using SPSS version 19.0.ResultsThe mean age of the IUCD users was 34.7 ± 6.52 years, while 517 (82.3%) had secondary education. On routine pelvic examination, seventy-nine clients (12.6%) had cervical ectropion. Thirty-nine (6.2%) clients had presented with a history of abnormal vaginal bleeding while 12.1% had vaginal discharge. Treatments offered to cases of cervical ectropion include cervical painting with gentian violet (89.9%) and antibiotics prescription (58.2%). On bivariate analysis, previous hormonal contraceptive use (P = 0.041) and vaginal discharge (P < 0.001) were significantly associated with developing cervical ectropion. Clients with ectropion were significantly more likely to receive prescriptions for antibiotics (P < 0.001).ConclusionLess than one fifth of the clients had cervical erosion. However, routine pelvic examination could aid the detection and control of latent reproductive health problems such as cervical ectropion which may require further investigations for example, pap smears, to exclude potentially lethal conditions and to determine appropriate treatment modality.

show abstract

Intérêt de la cryothérapie dans la prise en charge des ectopies cervicales symptomatiques

Cited by 9 publications

References 13 publications

Cryotherapy as a Method for Relieving Symptoms of Cervical Ectopy: A Randomized Clinical Trial

Cryotherapy as a Method for Relieving Symptoms of Cervical Ectopy: A Randomized Clinical Trial

Is Cryotherapy Friend or Foe for Symptomatic Cervical Ectopy?

Cervical Ectropion and Intra-Uterine Contraceptive Device (IUCD): a five-year retrospective study of family planning clients of a tertiary health institution in Lagos Nigeria

Contact Info

Product

Resources

About