CERVIX, CRYOSURGERY OF

General Information

DEFINITION--Destruction of abnormal (infected or damaged) cells in the cervix, the lower third of the uterus. An instrument called a cryosurgery probe is used to freeze abnormal cells with liquid nitrogen.

BODY PARTS INVOLVED--Cervix; vagina (as route for surgery).

REASONS FOR SURGERY

• Abnormal cells in the cervix.
• Inflammation or infection of the cervix (chronic cervicitis).

SURGICAL RISK INCREASES WITH--None expected.

What To Expect

WHO OPERATES--Obstetrician-gynecologist, family doctor or general surgeon.

WHERE PERFORMED--Doctor's office or outpatient surgical facility.

DIAGNOSTIC TESTS

• Before surgery: Pap smear; vaginal exam.
• After surgery: Pap smear in 2 to 3 months.

ANESTHESIA--Usually none.

DESCRIPTION OF OPERATION

• A speculum is inserted into the vagina to hold it open and to bring the cervix into view.
• The cryosurgery probe is held on the affected areas long enough to freeze and destroy abnormal cells.
• The instruments are removed. The procedure should be painless. Discomfort after surgery may vary from one person to the next but should not cause much distress.

POSSIBLE COMPLICATIONS--Occasional spotting of blood through the vagina.

AVERAGE HOSPITAL STAY--Usually none.

PROBABLE OUTCOME--Healing requires up to 2 months. During this time you should expect a frequent, watery vaginal discharge. Allow about 6 weeks for recovery from surgery.

Postoperative Care

† Wear cotton panties or pantyhose with a cotton crotch. Avoid panties made from nylon, polyester, silk or other non--

ventilating materials.

• Use a sanitary pad to protect your clothing. Avoid tampons--they may lead to infection. > Bathe and shower as usual. Use unscented soap. > Don't douche unless your doctor recommends it.

MEDICATION--You may use non--prescription drugs, such as acetaminophen, to relieve minor pain.

ACTIVITY---No restrictions. Resume sexual relations when your doctor determines healing is complete.

DIET---No special diet.

Call Your Doctor If

† Vaginal discharge increases or develops an unpleasant odor.

• You experience pain that simple pain medication does not relieve quickly.
• You develop signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.
• Unusual vaginal swelling or bleeding develops.