Risk factors for cervical stenosis after laser cone biopsy

Houlard, Sandra; Perrotin, F.; Fourquet, Florence; Marret, H.; Lansac, J.; Body, G.

doi:10.1016/s0301-2115(02)00062-3

Cited by 60 publications

(47 citation statements)

References 12 publications

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“…However, these variables did not reach a statistically significant difference (p = 0.26 and 0.30, respectively). Houlard et al 9 found that age greater than 40 years was a risk factor for cervical stenosis after laser conization (relative risk, RR = 4.95; 95% CI: 1.8-8.6). When the age cutoff point was 40 years, as in the study by Houlard et al, 9 patients over 40 years old presented a 1.48 times greater chance of developing cervical stenosis, compared with the younger group.…”

Section: Discussionmentioning

confidence: 99%

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Cervical stenosis following electrosurgical conization

et al. 2008

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CONTEXT AND OBJECTIVE: Cervical stenosis is a postoperative complication of procedures for treating preinvasive lesions of the cervix and takes on particular importance due to the clinical repercussions associated with it. Furthermore, it causes limitations in relation to cytological and colposcopic follow-up. The aim here was to assess the incidence of cervical stenosis among a cohort of patients who underwent electrosurgical conization and to identify possible prognostic factors associated with its occurrence. DESIGN AND SETTING:Retrospective study at Gynecology and Obstetrics Department, Instituto Fernandes Figueira, Rio de Janeiro. METHODS:This was an observational study among a cohort of patients who underwent electrosurgical conization of the uterine cervix. The possible predictive variables were analyzed as bivariate means between the groups with and without stenosis. We also calculated the incidence density rate ratio for cervical stenosis in relation to each possible predictive variable and the respective confi dence intervals (95%). Levels of 5% were considered signifi cant.RESULTS: 274 patients who underwent electrosurgical conization of the uterine cervix with a minimum follow-up period of six months were included. The crude incidence of cervical stenosis was 7.66% and the incidence density was 3.3/1,000 patients-month. CONCLUSIONS:We did not fi nd associations between the variables for stenosis. However, we observed borderline signifi cance levels relating to hemorrhagic complications before and after the operation (p = 0.089).

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Section: Discussionmentioning

confidence: 99%

“…Because of the different defi nitions used, the incidence observed by each author has also varied (from 0 to 25.9%). [7][8][9][10] Better knowledge regarding this complication of electrosurgical conization of the cervix would enable the planning of prevention strategies.…”

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confidence: 99%

Cervical stenosis following electrosurgical conization

et al. 2008

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“…Several studies have investigated the risk factors associated with uterine cervical stenosis after conization [2,[6][7][8][9][10]. One such study identified height of excision and a totally endocervical lesion as major risk factors [6].…”

Section: Resultsmentioning

confidence: 99%

“…There are also reports of cases of primary hematometra due to imperforate cervix in postmenarchal girls with didelphys uterus [3,5]. Hemometra can also be acquired by cervical stenosis secondary to surgical procedures of the cervix such as LEEP and conization [2,[6][7][8][9][10], previous cervical radiation therapy [11] or as a complication of endometrial ablation [12]. Ablating the cervico-uterine junction is possible in certain cases, likely owed to poor surgical technique [12].…”

Section: Discussionmentioning

confidence: 99%

“…Yang et al [16] presents a case report of severe, recurrent cervical stenosis and hematometra, refractory to both surgical and conservative management [16]. Other case reports by Caceres et al [7] and Motegi et al [2] demonstrate success with the use of levonorgestrel-releasing intrauterine system at 5 months after placement. Additionally, there are reports of nylon threads tied to IUDs and protruding through the cervical canal, as well as the successful use of cooper IUDs [2].…”

Section: Discussionmentioning

confidence: 99%

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Hematometra and Hematocolpos, Secondary to Cervical Canal Occlusion, a Case Report and Review of Literature

Rezai¹

2017

OGIJ

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Background: Hematometra is an uncommon disorder that can be caused by congenital or acquired structural obstruction of the cervical canal. Acquired cervical stenosis can develop due to surgical procedures performed on the uterus or cervix. Common symptoms associated with this disorder include amenorrhea or dysmenorrhea in premenopausal women, pelvic pain or pressure, urinary frequency and retention. We report a case of hematometra and hematocolpos, secondary to cervical canal occlusion treated with ultrasound guided placement of lacrimal probe.

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