Cervical Conization Overview

Cervical conization is done to remove a cone-shaped piece of tissue from the cervix. The cervix is located at the back of the vagina and is the entry way into the uterus (womb).

Prior to Procedure

Do not eat or drink anything for 8 hours prior to the procedure.

Anesthesia

You will be given some type of anesthesia. These options include:

• Local anesthetic—The area will be numbed. IV sedation may also be given to help you relax.

• Regional anesthesia (epidural, spinal)—The lower half of the body will be numb.

• General anesthesia —You will be asleep.

Description of the Procedure

A speculum will be inserted into the vagina, similar to a Pap smear. It will hold your vagina open and allow instruments to pass easier. Your doctor will use a knife, laser, or heated loop to remove a cone-shaped piece of tissue from the cervix. If there are abnormal cells, they will also be removed. Self-absorbable sutures may be placed in the cervix to control bleeding.

The tissue will be sent to a lab to test for cancer. The test results will be available within a week.

How Long Will It Take?

The procedure will take less than an hour.

How Much Will It Hurt?

Anesthesia will prevent pain during this procedure. After the procedure, you may have some discomfort. You can take pain relievers to help manage any discomfort.

Postoperative Care

At the Care Center

You will rest in a recovery area until the anesthesia wears off. When you are awake and aware, you will be able to go home.

At Home

When you return home, do the following to help ensure a smooth recovery:

• You may have some bleeding or discharge from your vagina for several days postsurgery. A sanitary napkin or pad may be worn. Tampons should not be used for a month or more after the surgery.

• Sexual intercourse is discouraged for 4-6 weeks.

• Showers and baths are OK.

• Be sure to follow your doctor's instructions.

A postoperative exam takes place at six weeks.

RESOURCES:

The American Congress of Obstetricians and Gynecologists
http://www.acog.org/publications/patient_education/

National Cancer Institute
http://www.cancer.gov/

National Cervical Cancer Coalition
http://www.nccc-online.org/

CANADIAN RESOURCES:

The Society of Obstetricians and Gynaecologists of Canada (SOGC)
http://www.sogc.org/

Women's Health Matters
http://www.womenshealthmatters.ca/index.cfm

References:

Cold knife cone biopsy. MedlinePlus Medical Encyclopedia website. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/003910.htm . Accessed August 30, 2005.

Fernandez-Montoli ME, Baldrick E, Mirapeix G, Gine-Martinez C. Conservative treatment in gynaecological cancer for fertility preservation. Cochrane Gynaecological Cancer Group. Cochrane Database of Systematic Reviews. 2010;(8).

Management of abnormal cervical cytology and histoilogy. The American College of Obstetrics and Gynecology, Practice Bulletin No. 99, Decenber 2008.

Morris M, Mitchell MF, Silva EG, et al. Cervical conization as definitive therapy for early invasive squamous carcinoma of the cervix. Gynecol Oncol. Nov 1993;51(2):193-6.

Stenchever MA. Comprehensive Gynecology. 4th ed. St. Louis, MO: Mosby; 2001:878-880.