What is a cervical conization?
It`s a surgical procedure by which a conical section of the cervix is removed for diagnostic and / or therapeutic purposes.
There are different techniques to perform a conization according to the characteristics of the cervical lesions, their location and the purpose to perform it.
It is a relatively simple procedure, which can be performed many times under local or general anesthesia, using different surgical materials.
Are there different techniques for conization?
Yes, there are different techniques that are used depending on the type of cervical lesion that will be treated, and the experience of the gynecologist who performs it.
- Conization with LEEP (Electro-Surgical Loop Excision Procedure) is performed by means of a handle that cuts and coagulates at the same time and is used for the extraction of very superficial and / or small lesions. It serves both to perform larger biopsies than with the usual biopsy technique or as a treatment to eliminate the entire lesion.
- Conization with cold scalpel is performed when there are lesions that occupy an important position of the cervix or that are inside the endocervical canal. They tend to be more aggressive for the cervix, since it has to remove more tissue. It has a higher rate of bleeding during the procedure.
- Laser conization is a relatively new technique that uses a carbon dioxide laser beam to cut and coagulate. This technique allows deep conizations, directing the cut more precisely so as not to eliminate healthy tissue. It is a costly technology and not all hospitals have it.
What side effects can I have after a conization?
With any of the techniques, a postoperative bleeding may occur that usually lasts no more than 10-15 days and should progressively decrease. Malodorous discharge due to scarring of the cervix can also occur sometimes. Immediately after the procedure, you may experience mild pain that usually resolves with the passing of the hours and with the administration of oral analgesics. There are cases in which in the days leading up to menstruation there may be some blood dripping.
You cannot have sex during the first month after conization, nor can you use tampons or ovules, unless your gynecologist tells you to. It is preferable not to take shower or immersion baths until one month after conization.
How long should I wait to find a pregnancy?
After the conization, it is preferable to wait for the result of the pathological anatomy and wait for the first subsequent control to define that there is no need to intervene again.
Can I have problems with a pregnancy?
Patients who undergo conization have a slightly higher risk of having premature births or premature rupture of membranes. It is necessary that the gynecologist who controls the pregnancy knows this information to make an adequate measurement of the length of the cervix (cervicometry) during pregnancy to assess the risk of premature delivery. In the vast majority of cases, however, there are no problems with pregnancies.
Can I have a normal vaginal delivery if I had a conization?
Yes. It is not a contraindication to have a birth due to having undergone a conization.