What is conization?Conization is a surgical procedure to remove a cone shaped specimen of tissue from the cervical canal. It provides a larger tissue sample than is removed for a biopsy. It is used sometimes when the area causing the abnormal Pap smear is a large one or if it extends into the cervical opening. Conization involves removing the central portion of the cervix and its other opening. The amount of tissue removed depends on the size and location of the abnormal area.
Is conization used instead of colposcopy?Before the colposcope, conization was used to do a biopsy of the cervix. Today, colposcopy is the preferred method, because conization is more expensive and takes more time. Conization can also cause difficulty with future pregnancies. However, conization is used as a diagnostic tool if colposcopy fails to determine the source of the abnormal Pap smear.
If the biopsy shows that I have cancer of the cervix, what other tests will the doctor perform before he begins the treatment?Before treatment is started, the doctor will usually perform a cystogram, an intravenous pyelogram, and barium enema examination. Depending upon the stage of the disease, he might also perform some body scans to check for involvement in the bone or liver or a lymphangiogram to look for lymph node involvement. The stage of the tumor is the principal factor in determining the particular treatment which will be used, so the tests the physician performs are very important.
What kind of treatment is used for cervical cancer in situ?The treatments used for cervical cancer in situ include minor surgery such as conization, cryosurgery (freezing), laser surgery, or sometimes removal of the uterus. The important point is that cancer of the cervix is 100 percent curable if discovered early. In some early cases, childbearing function can be maintained.
How tissue changes happen on the cervix?The cervix associates the uterus to the vagina. It opens to the vagina in the external cervix. At the cervix there is the change territory between the glandular mucous layer of the cervical waterway and the mucous film that covers the external pieces of the cervix. Cell changes are especially simple to create here, particularly if there is a disease with certain human papillomaviruses (HPV).
The adjustments in the mucous film of the cervix can be of various degrees. In the event that the cell changes are dangerous, one talks about cervical malignant growth.
Early discovery of cervical malignant growth and its antecedentsAll ladies matured 20 and over are qualified for a yearly registration with the gynecologist for the early identification of malignancy of the outside and inner genital organs. For ladies somewhere in the range of 20 and 34, this consistently incorporates a smear from the outer cervix and cervical waterway, the supposed Pap test. In ladies matured 35 and more seasoned, the smear just happens at regular intervals, however is joined with a test for human papilloma infections.
On the off chance that the specialist finds certain adjustments in the phones in this smear or the HPV test is sure, an amplifying glass assessment of the cervix regularly follows with the assistance of a kind of magnifying instrument, a purported colposcopy. This assessment can be followed on an associated screen. The specialist additionally takes a tissue test from obvious territories. These examples, called biopsies by specialists, are then analyzed in the lab. Some of the time the specialist likewise conizes if there is a serious cell change (dysplasia) to explain this.
When is conization vital?A conization might be important to expel changed tissue from the cervix, for instance if cervical malignant growth is suspected. This tissue would then be able to be analyzed in the research facility. It can likewise be utilized to expel beginning phase cervical malignancy.
How accomplishes a conization work?Conceivable careful instruments are electric slings, lasers or surgical tools. Frequently, specialists are presently utilizing the sling. This makes it simpler for them to keep up solid tissue. The sling conization is a little intercession in a talented hand, which should for the most part be possible on an outpatient premise and either under nearby sedation, under general or spinal sedation (spinal sedation).
The specialist initially sterilizes and spreads the vagina and positions a colposcope. From that point he can take a gander at the cervix broadened. He at that point evacuates a cone-molded piece (cone) from the cervix under a colposcopic see. He takes as meager tissue as could reasonably be expected, particularly from ladies who have not yet finished their family arranging. In this way, in such cases, he picks a level cone. Since the less tissue it expels, the lower the danger of untimely birth in a later pregnancy. Then again, it is significant that the specialist completely records the changed tissue.
In ladies after the menopause, the progressions regularly happen all the more strongly inside the cervix. That is the reason the specialists for the most part play out a pointed, further conization rather than a level conization.
The system is regularly joined with a scratching of the mucous film in the cervix.
What are the potential difficulties of conization?Intricacies during the activity are uncommon. Every so often, for instance:
Wounds to the vagina and uterus from the careful instruments
Irritation of the uterus, fallopian cylinders or bladder
Holding of the cervix
Most intricacies can be overseen well. Contaminations are normally rewarded with anti-infection agents. Stomach medical procedure to stop the draining is just vital in singular cases after conization. On the off chance that the cervix sticks after conization, blood or liquid can develop in the uterus and cause torment. On the off chance that essential, the gynecologist should then expel these attachments by playing out another technique.
Follow-up care: What occurs after conization?After a conization, gynecologists exhort against full showers and pool visits for around three to about a month. The utilization of tampons and sex during this period are additionally not suggested.
On the off chance that the course is simple, the patients for the most part have little agony. During the mending of the careful injury, slight draining or brilliant red release can happen. On the off chance that there is overwhelming dying, if it's not too much trouble see your gynecologist. Postoperative draining frequently happens about seven days after conization in light of the fact that the scab is then dismissed.
Regardless of whether everything works out as expected, a registration at the gynecologist should occur after around a month.