Background: Cervical stenosis is one of the long-term complications of cervical conization that may cause severe symptoms in premenopausal women. Cases: Two premenopausal women presented with amenorrhea and hematometra after conization procedure. The symptoms could not be treated by either dilatation and curettage or temporary catheter stent placement, because of a recurrent stenotic cervix. The patients underwent insertion of a Malecot catheter and have had it replaced with a new one every year. Results: The patients have been asymptomatic and have had normal menstrual cycles since the patency of cervical canal was maintained by using the Malecot catheter. Conclusions: The insertion of a Malecot catheter in the uterine cavity can provide a useful conservative management technique for post-conization stenosis. (J GYNECOL SURG 28:26)
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References
1.
HallamNF, WestJ, HarperCet al.Large loop excision of the transformation zone (LLETZ) as an alternative to both local ablative and cone biopsy treatment: A series of 1000 patients. J Gynecol Surg, 1993; 9:77.
2.
AndersenES, PedersenB, NielsenK. Laser conization: The results of treatment of cervical intraepithelial neoplasia. Gynecol Oncol, 1994; 54:201.
3.
BaldaufJJ, DreyfusM, RitterJ, MeyerP, PhilippeE. Risk of cervical stenosis after large loop excision or laser conization. Obstet Gynecol, 1996; 88:933.
4.
LuesleyDM, WilliamsDR, GeeH, ChanKK, JordanJA. Management of postconization cervical stenosis by laser vaporization. Obstet Gynecol, 1986; 67:126.
5.
Suh-BurgmannEJ, Whall-StrojwasD, ChangY, HundleyD, GoodmanA. Risk factors for cervical stenosis after loop electrocantery excision procedure. Obstet Gynecol, 2000; 96:657.
6.
OhelG. Complications of cone biopsy of the cervix. S Afr Med J, 1981; 59:382.
7.
MathevetP, DargentD, RoyM, BeauG. A randomized prospective study comparing three techniques of conization: Cold knife, laser, and LEEP. Gynecol Oncol, 1994; 54:175.
8.
WrightTCJr, GagnonS, RichartRM, FerenczyA. Treatment of cervical intraepithelial neoplasia using the loop electrosurgical excision procedure. Obstet Gynecol, 1992; 79:173.
9.
FerenczyA. Electroconization of the cervix with a fine-needle electrode. Obstet Gyncol, 1994; 84:152.
PennaC, FambriniM, FallaniMG, PieralliA, ScarselliG, MarchionniM. Laser CO2 conization in postmenopausal age: Risk of cervical stenosis and unsatisfactory follow-up. Gynecol Oncol, 2005; 96:771.
12.
MasonBM, HakimiAA, ClerkinKJ, SilvaJV. Successful percutaneous transperineal drainage of a large prostatic abscess. Urology, 2010; 76:1369.
13.
HoppeKK, FialkowMF, DigheM, ChengE. Intrauterine air embolism associated with a rectovaginal fistula in a pregnant woman. Obstet Gynecol, 2011; 118:481.
14.
YanushpolskyEH, GinsburgES, FoxJH, StewartEA. Transcervical placement of a Malecot catheter after hysteroscopic evaluation provides for easier entry into the endometrial cavity for women with histories of difficult intrauterine inseminations and/or embryo transfers: A prospective case series. Fertil Steril, 2000; 73:402.
